RT Book, Section
A1 Ali, Sophia
A1 Wyneski, Matthew
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114872051
T1 Esophageal Disorders: Gastroesophageal Reflux Disease and Eosinophilic Esophagitis
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114872051
RD 2024/04/23
AB A  6-month-old  boy  presents  with  a  history  of  gagging  and  emesis  shortly  after  formula  feedings.  During  these  episodes,  the  child  arches  his  back  and  becomes  fussy  according  to  his  worried  parents.  His  mother  relates  that  the  emesis  is  mostly  partially-digested  formula,  and  is  non-bloody  and  non-bilious.  These  episodes  occur  2  to  3  times  per  day,  and  the  parents  are  very  concerned  because  their  child  looks  very  uncomfortable  during  these  episodes.  His  vital  signs  are  stable.  On  physical  exam,  the  pediatrician  notes  a  well-nourished  baby  who  is  growing  appropriately  along  the  50th  percentile  for  all  parameters,  is  happy  and  playful.  The  pediatrician  diagnoses  gastroesophageal  reflux  (Figure  54-1)  and  prescribes  acid-suppression  with  an  H2-blocker  at  a  weight-appropriate  dosing.  His  episodes  of  emesis,  arching,  and  discomfort  improve  significantly.