Author: Charlotte Davies / Editor: Yasmin Sultan / Codes: GP2, OncP1, SLO5, SLO7Published: 29/06/2022

Your next patient is an 18-month-old girl, labelled ‘constipation’ at triage. You immediately notice that the child is grunting. She has had episodic fevers for the last month. She is rather listless and pale. Her abdomen looks very distended. 


  • Heart rate 158 bpm
  • Capillary refill 3 seconds, cool peripheries
  • BP 90/50
  • RR 34 breaths per minute
  • Oxygen saturations 92% on air
  • Temperature at triage 37.5 degrees C.

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