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CASE REPORT

Patient Name: Mr. Li

Age: 2 years old

Sex: Male

Clinical History

Mr. Li is a 2-year-old male child in the pediatric clinic. The patient was admitted for fever and diarrhea for the past week. He was also having difficulty sleeping and was occasionally crying and throwing tantrums. On physical exam, his abdomen was tender and his spleen was enlarged. Laboratory tests revealed leukocytosis, hypoalbuminemia, and hyperglobulinemia.

Diagnosis

Based on the physical exam, laboratory findings, and clinical history, the patient has been diagnosed with pediatric appendicitis.

Treatment

The patient has been started on antibiotics for treatment and given pain medication for symptom relief. Surgery is planned to remove the appendix in impacted areas. The patient's condition is being monitored closely and if there is any improvement, a less invasive procedure may be chosen. The patient is being asked to follow a healthy diet and maintain good hydration to help the body heal.

Follow-up

The patient was seen regularly for follow-up visits and the progress of his condition was monitored. After a few weeks, the patient's condition. gradually improved. He was able to complete the prescribed treatment regimen, and his laboratory values returned to normal. He is now feeling better and is able to resume all his daily activities.

Conclusion

This case report has demonstrated that pediatric appendicitis is a common cause of abdominal pain in children and can be effectively managed with appropriate treatment. The key to prompt treatment is awareness and early diagnosis.