_ y/o child presenting with abdominal pain +/- vomiting and fevers. Vitals are within normal limits, patient is non-toxic and tolerated PO. Less likely Intussusception given reassuring ultrasound, no hx of bloody stool, no asymptomatic periods between episodes, no lethargy or palpable mass. Meckel’s diverticulum is possible but would be atypical without a reported history of rectal bleeding. Volvulus and malrotation is unlikely given otherwise well-appearing patient without rigid/distended abdomen. I have low suspicion for appendicitis, torsion, HSP (no palpable purpura) and UTI (reassuring UA). Parents were notified that intussusception could potentially still be the source of the pain despite having a reassuring ultrasound on this visit. Should the patient appear to be in pain once again they were told to immediately return to ED again.
MDM for different chief complaints 
Critical care documentation
Combative patient
Wilderness preparedness
ACEP clinical policies
Expedited partner therapy
SCVMC:CUSTODY CARE
FALLS protocol