A 4 1/2 month old boy was brought to the emergency room by his mom. His mom reported that he had a fever and poor appetite. She denied that he had vomiting or diarrhea.
The child was awake and quiet while nursing triage was performed. Triage vital signs were: 100.7 axillary temperature, 102.5 rectal temperature, 172 pulse, 60 respiration. Physical examination revealed an inguinal hernia. A two-minute attempt to reduce the hernia, made by the ER attending physician, was unsuccessful. A surgical consultation was requested. A flat plate of the abdomen was ordered.