_ y/o patient presenting with nonbloody nonbilious vomiting _and nonbloody diarrhea most likely due to acute gastroenteritis. Pt has low grade fever, sick contacts with similar symptoms and no abdominal pain thus this likely does not represent an acute abdominal process such as appendicitis. Patient appears well hydrated and able to tolerate PO. _Patient appears clinically dehydrated and was given 20cc/kg fluid bolus along with antiemetic after which they were able to pass PO trial. Parents were informed about the importance of keeping the patient hydrated and washing hands to prevent it from spreading to others. Patient and family were told that this could represent early appendicitis and they were told to look out for symptoms such as RLQ pain and to promptly return to ED should this occur. They were also told to come back if the patient shows signs of dehydration (decreased wet diapers, darker urine, no tears) or can’t tolerate PO fluids. Parents understand and agree with the plan and will f/u with PCP this week.
MDM for different chief complaints 
Critical care documentation
Combative patient
Wilderness preparedness
ACEP clinical policies
Expedited partner therapy
SCVMC:CUSTODY CARE
FALLS protocol