"Does your stomach hurt, Adrian?" Elias asked.
Adrian shook his head faintly, then pressed closer to Daniella.
"Has he complained of any pain since the vomiting started?" Elias asked, glancing at Santiago.
"No," Santiago replied. "He hasn't said anything about pain. He just can't keep the food down."
Elias nodded and continued his examination. He checked Adrian's alertness and pupils, asking him a few simple questions and observing how he responded. The boy was unusually clingy and visibly distressed, but Elias needed to distinguish his emotional state from any physical symptoms that might explain what was happening.
"Has he vomited anything apart from the food?" he asked.
"No. Just what he ate," Santiago answered.
Elias finished examining Adrian and turned to the nurse. "Prepare an intravenous line for him. He's been vomiting whenever he tries to eat, and I don't want him becoming dehydrated. We'll start him on fluids and monitor his response."
