She has mild vomiting and anorexia and fevers to 101°F. She is unable to defecate but has an urge to do so. CBC reveals a slightly elevated WBC of 14,000 but is otherwise normal. Serum electrolytes are normal. The next step is: 2. 3. a . 4. Refer to gynecology for a pelvic exam. 5. 6. b 7. Refer to surgery for evaluation of appendicitis.
. 8. 9. c . 10. Allow her to go home on clear fluids and reassess in the morning. 11. 12.d . 13. Initiate oral rehydration therapy and evaluate for symptom progression. 1. A common presenting symptom of inflammatory bowel disease is: 2. 3. a . 4. Joint infection 5. 6. b . 7. Accelerate d growth 8. 9. c . 10. Unexplain ed fever 11. 12.d . 13. Kidney stones You see a 7-year-old with a positive stool culture for Salmonella enteritidis. The appropriate therapy for a non-dehydrated child is: a. Metronidazole (Flagyl) b. Sulfamethoxazole (Bactrim) c. Bland diet with focus on maintaining hydration d. Immodium A-D over the counter 1. The most accurate way to determine the degree of dehydration in a vomiting child is to assess: 2. 3. a . 4. Urine output 5. 6. b . 7. Skin turgor 8. 9. c . 10. Level of consciousnes s
11. 12.d . 13. Presence of tears A mother brings a 2-year-old to your office with the complaint that she passes 5 to 10 watery stools per day that often contain undigested food. The child appears healthy and has no other GI symptoms. She is acting, eating, and voiding normally. Weight gain is normal and the mother states she often drinks (her favorite drink is Kool-Aid) instead of eating. The best management
You've reached the end of your free preview.
Want to read all 4 pages?
- Spring '18
- Gastroenterology, Gastroenteritis, Clostridium difficile, Ulcerative colitis, Crohn's disease