The child is conscious but miserable. She looks pink. Lips dry but tongue moist. Not clinically dehydrated. Afebrile. Capillary refill is 1second. Warm peripheries.
Oxygen saturation 97% in air.
Weight 14.0 kg.
Heart rate 90 bpm. Blood pressure 120/70. Chest clear. Resp. rate 20/min. Abdomen soft. Tender in right loin. Diffuse swelling in right flank.
CNS exam grossly normal
How would you proceed?
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