I am one of those non-pediatric trained FP clinic/ER guys who come across this kind of situation in both situations. I follow the "appearance" of the patient and avoid further testing. Most of the follow ups (not exactly for this compalint) later shows that I was right most of the time. So I guess the bottom line is what one is comfortable with. In any case I don't think the discussion is pointless. Because there are times I have wondered about my approach and wanted to know how others handled such a situation. So definitely the discussion is worth the time.
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