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The page below is a sample from the LabCE course Case Studies in Pediatric Hematology. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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History of Present Illness (HPI) for Nicolás

Nicolás is an eight-month-old Hispanic male who is brought to the free clinic by his mother. They have both recently immigrated to the United States from Mexico. His mother states that Nicolás had a home birth in Mexico and has been healthy as far as she knows. The mother had no prenatal care in Mexico but states that she did take a prenatal vitamin during pregnancy and stopped smoking when she found out she was pregnant. She reports that Nicolás was born at full term and was not aware of any sexually transmitted infections. Nicolás has been exclusively breastfed since birth and is making a normal amount of urine and stool-filled diapers every day per his mother. The patient’s mother just wishes for Nicolás to begin receiving his vaccines today and to have whatever blood work is recommended for his age group.