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phuluong2k
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Chief complaint: An 8-month-old infant with fever and irritability.
History of present illness (HPI): You are in general pediatric practice. A mother brings in an 8 month old male child because of fever and irritability for five days. On the second day of illness the child was seen at a local emergency room where the physician found no source for the fever and prescribed acetaminophen. Fever and irritability persisted. The fever has been between 1 03 F and 104 F rectally. There are no other complaints and the child has been feeding well.
Physical examination reveals a febrile, irritable, circumcised male infant but is otherwise within normal limits. The child is consolable.
1. Which of the following aspects of management of this child is most important?
A. To keep the temperature below I 04 F rectally
B. To keep the temperature below 102 F rectally.
C. To determine the cause of the fever.
D. To begin your laboratory investigation.
E. Undress the baby and let the temperature come down
2. Statistically it is most likely that this child has
A. an acute viral infection.
B. occult bacteremia.
C. a urinary tract infection.
D. bacterial meningitis.
E. osteomyelitis.
3. The next day the child develops a rash. Physical examination reveals nonpitting swelling of the hands and feet, redness of the lips, bilateral bulbar conjunctivitis without exudate, an enlarged right cervical lymph node, approximately 2 x 3 cm, and a generalized, splotchy, erythematous macular rash. The pharynx is normal. Chest is clear. The child is irritable but in no distress. The neck is supple.
You expect that the CBC will reveal
A. Increased WBCs, increased neutrophiles, decreased platelets, and normal hemoglobin.
B. Increased WBCs, increased neutrophiles, increased platelets, and normal hemoglobin.
C. Elevated WBCs, normal neutrophiles, normal platelets, and normal hemoglobin.
D. Decreased WBCs, decreased neutrophiles, normal platelets, normal hemoglobin.
E. Decreased WBCs, decreased neutrophiles, decreased platelets, and decreased hemoglobin.
4. Other features of Kawasaki disease includes all of the following EXCEPT:
A. CSF pleocytosis.
B. Hydrops of the gall bladder.
C. Sterile pyuria.
D. Hematuria
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| babli
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Posts: 425
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1 C,2 A,3 B,4 D.
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| phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
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Yeah, you are right
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