Laboratory results on a 57 year old female with a history of…

Laboratory results on a 57 year old female with a history of rheumatoid arthritis are as follows: hemoglobin 10.5 g (low), hematocrit 33% (low), MCV -88mm3 (normal) and serum ferritin is 110 (normal). The remaining laboratory results are within normal limits. The nurse practitioner diagnoses this patient with:

Mr. Smith brings his 5 day old infant to your office. He sta…

Mr. Smith brings his 5 day old infant to your office. He states that the child has been crying constantly and cannot seem to “keep his formula down”, regurgitating after each feeding. You note an irritable infant with slightly depressed fontanelles. On exam, the infant’s abdomen is soft with the exception of a palpable ‘olive’ mass in the epigastric area. What is your best course of action?