Abstract

On July 1 at 10:00 a.m. in Northern California at a walk-in clinic, an eight-year-old type I diabetic, Adam, a Hispanic male present accompanied by his mother, Lana. Lana states Adam has had a fever over 101 degrees Fahrenheit for the last 4 days and has been complaining of generalized aching, nasal congestion, and a sore throat. She states that Adam is usually a very active child, playing soccer outside, but has been lying in his bed and telling her, “Mom, I don’t feel good. My stomach hurts, I feel like I’m going to throw up, my eyes itch, and I hurt all over.” Lana says she has been giving him some Tylenol for his fever but it keeps returning. Adam hasn’t been eating well, only drinking a little water, complaining of a sore throat, and diarrhea and she is concerned because he seems to be getting worse.

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