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pediatric notes
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An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over the past 48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the presenc ... e of bandemia and a total WBC of 28,000 mm3. To support the diagnosis of acute appendicitis with suspected appendiceal rupture, you consider obtaining the following abdominal imaging study: Question options: 1) Magnetic resonance image (MRI). 2) Computed tomography (CT) scan. 3) Ultrasound. 4) Flat plate. Question 22 / 2 points Gina is 2 years old and presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at the right lung base. Skin turgor is normal, and she is wearing a wet diaper. She is alert, resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3° C (101° F). Gina's diagnostic evaluation should include: Question options: 1) chest x-ray. 2) urine culture and sensitivity measurement. 3) lumbar puncture. 4) sputum culture. [Show More]
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