ARJ
Forum Guru
Topics: 133
Posts: 792
|
A previously healthy 6-month-old boy is brought to the emergency department because of a 12-hour history of intermittent episodes of inconsolable crying associated with drawing up of the legs. Over the past 6 hours, he has had intermittent diarrhea that is reddish and mucoid, and for the past 3 hours he has been somnolent. On examination, he is sleepy but arousable. His temperature is 38.1 C (100.6 F), blood pressure is 90/55 mm Hg, pulse is 140/min, and respirations are 38/min. He cries when his abdomen is palpated; a mass is felt in the right lower quadrant. His leukocyte count is 12,400/mm3 (50% segmented neutrophils, 8% bands, 1% eosinophils, 40% lymphocytes, and 1% monocytes). Serum electrolyte levels are within normal limits. An x-ray film of the abdomen shows no free air.
Whats the next Step in Management????????????????
A ) Administration of parenteral antibiotics
B ) Admission to the hospital for medical management
C ) Admission to the hospital for operative management
D ) Colon contrast studies
E ) Discharge for follow-up by personal physician
F ) Endoscopy
G ) MRI of the abdomen
H ) Observation in the emergency department
Please give reason for your answer
Edited by ARJ on 11/15/05 - 05:30 AM
___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi
|
| DrS
Forum Elite
Topics: 32
Posts: 338
|
D ) Colon contrast studies
|
| phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
|
I don't see the question for this case
Suggest we do colon contrast study, think of intussusception
|
| nycnew
Forum Senior
Topics: 4
Posts: 121
|
|
| ARJ
Forum Guru
Topics: 133
Posts: 792
|
I am also thinking the same.........................
A query---------Why Lymphocytes are increased................is it because of the Rotavirus infection?
Edited by ARJ on 11/15/05 - 05:40 AM
___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi
|
|
| |
| | | | | |
Similar forum topics