Received Oct 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| RV5 | ROTAVIRUS (ROTATEQ) | MERCK & CO. INC. | 2 | Z006001 | PO / MO |
CC: C/o brown mucous vomit. ? Grandmother states patient had pears last night at 6pm and then woke up between 2-3AM vomiting. States the vomit started as yellow but has since turned to a dark brown. Mom was concerned stating patient has vomited 5-6 times. ? Mom says no fever, but she is puking up brown phlegm. At first it was yellowish, then it changed at 5am it changed to brownish. She hasn't had a fever or a cough. She felt bad yesterday, but couldn't tell what was wrong. She is stooling normally, it is dark colored the last two times, but no visible blood. They did just start her on pears. She has not had any medications other than motrin last night, nothing this morning. She had the motrin prior to the brown vomit. Mom gave her motrin to help with any possible pain. No runny nose, no rashes. She is on Similac Advance formula, yesterday she would only eat a little all day. Usually she eats 6oz at at time, only eating up to 4oz per feed yesterday. She ate her cereal last night like she was hungry.
none
no
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No known drug allergies
EXAM DESCRIPTION: US PEDS ABD CMP WITH PELVIS LTD CLINICAL INFORMATION: 4-month-old girl with history fussiness and bloody vomit and stool. COMPARISON: None TECHNIQUE: Grayscale and color Doppler sonographic imaging was performed of the abdomen. FINDINGS: Pancreas: Visualized portions are normal. Abdominal Aorta: Normal. Intrahepatic IVC: Normal. Main Portal Vein: Patent with normal directional flow. Liver: Normal. Gallbladder: Normal. Bile ducts: No evidence of biliary ductal dilation. The common bile duct measures 1 mm in diameter. Right kidney: Normal. Renal length is 5.7 cm. Left kidney: Normal. Renal length is 5.8 cm. Urinary bladder: Normal. Bladder volume 5 mL. Spleen: Normal. Splenic length is 5.8 cm. Free fluid: Trace ascites which is simple in appearance. Other: There is a right lower quadrant ileocolic intussusception measuring up to 2.9 cm in AP diameter with a large central echogenic fatty core containing lymph nodes. No significant trapped fluid.