What to Expect the Toddler Years (199 page)

repeated vomiting; call within 24 hours.

mild dehydration (see page 606 for typical signs); call during regular office hours.

severe dehydration (see page 606 for signs);
call immediately
.

uncharacteristic behavior—excessive crankiness or crying; excessive sleepiness; lethargy; sleeplessness; sensitivity to light; loss of appetite; ear pulling or clutching;
call immediately
.

A Cough:

that lasts more than 2 weeks; call during regular office hours.

that disturbs sleep at night; call during regular office hours.

that brings up yellowish or greenish phlegm; call during regular office hours.

that brings up blood-tinged phlegm;
call immediately
.

A cough accompanied by:

difficulty breathing;
call immediately
.

chest pain; call during regular office hours.

wheezing (a whistling sound on breathing out, as in asthma); call during regular office hours.

retractions (the skin between the ribs appears to be sucked in with each breath); call during regular office hours.

rapid breathing (see page 574); call during regular office hours.

Sore throat:

following exposure to someone with diagnosed strep infection; call during regular office hours.