Domain 3: The "Warning Signs"

(Student Question): "Has he had any bleeding? Vomiting? Belly pain?"

(Nurse Rina's Interjection): "Doc, while you were talking, I checked his arm. He has scattered petechiae (small red spots). And look at his gums—there is dried blood."

(Grandmother's Addition): "He vomited three times yesterday. Black liquid (coffee-ground emesis)."