Pediatrics

The patient was evaluated by myself and was noted to be completely nontoxic in appearance at time of discharge. The child was smiling, taking oral fluids without any difficulty and well appearing. There is no evidence of systemic toxicity at this time, but the child's parents were advised that the condition could change, and that if the child gets worse in any way to return to the emergency department immediately for reevaluation. They were specifically counselled in signs and symptoms of toxicity to look for: inability to tolerate oral fluids, lethargy, delayed capillary refill, alteration in mental status, or petechial rash.