Page 1 of 1: crs diarrhea

DRGSR · Credits: 4545 My Scrapbook

An 8 y/o boy presents with a five week h/o diarrhea. He has 4-5 loose, watery stools daily. He is afebrile. For the past three weeks he has noted fresh blood in his stools. He has lost 5 lbs. in weight and is more tired than usual. Which of the following are most important to ask in the history? Select up to four
>
> 1. abdominal pain
> 2. blurred vision
> 3. cats in the house
> 4. chronic cough
> 5. epistaxis
> 6. excessive milk intake (> 40 oz.)
> 7. family h/o gluten sensitivity
> 8. family h/o SIDS (Sudden Infant Death Syndrome)
> 9. foreign body ingestion
> 10. foreign travel
> 11. h/o blood transfusion
> 12. joint pain
> 13. mother with lactose intolerance
> 14. nocturnal peri-anal itching
> 15. past h/o hepatitis
> 16. rash
> 17. vomiting
>
> Which physical findings would be most compatible with the boy's history? Select up to four
>
> 1. abdominal distention
> 2. ascites
> 3. blue sclera
> 4. café-au-lait spots
> 5. capillary hemangioma
> 6. clubbing
> 7. dilated peri-umbilical veins
> 8. erythema nodosum
> 9. grade 2/6 systolic ejection murmur
> 10. hemi-hypertrophy
> 11. increased AP diameter of chest
> 12. limp
> 13. pallor
> 14. pectus escavatum
> 15. peri-anal erythema
> 16. pericardial rub
> 17. rachitic rosary
> 18. wheezing
>
> Which of the following diagnoses would be most likely to consider? Select up to four
>
> 1. AIDS
> 2. Calici virus
> 3. Campylobacter enteritis
> 4. clostridium difficile diarrhea
> 5. cow's milk allergy
> 6. cystic fibrosis
> 7. eosinophilic enteritis
> 8. foreign body ingestion
> 9. giardiasis
> 10. Hennoch Schonlein vasculitis
> 11. intestinal lymphoma
> 12. intussusception
> 13. lactose intolerance
> 14. Meckel's diverticulum
> 15. regional ileitis
> 16. rotavirus enteritis
> 17. Shigella enteritis
> 18. Toro irus
> 19. ulcerative colitis
> 20. volvulus
>
> Which of the following laboratory tests would be most appropriate to order? Select up to four
>
> 1. CBC
> 2. C-reactive protein
> 3. Chest x-ray
> 4. 3 day stool fat
> 5. double contrast barium enema
> 6. ECG
> 7. ESR
> 8. Factor 8 assay
> 9. lactose H+ breath test
> 10. Meckel's scan
> 11. platelet account
> 12. PT and PTT
> 13. serum amylase
> 14. serum calcium
> 15. serum electrolytes
> 16. serum protein electrophoresis
> 17. stool for culture and sensitivity
> 18. stool or ova and parasites
> 19. sweat chlorides
> 20. TB test

maryana · Credits: 15476 My Scrapbook

An 8 y/o boy presents with a five week h/o diarrhea. He has 4-5 loose, watery stools daily. He is afebrile. For the past three weeks he has noted fresh blood in his stools. He has lost 5 lbs. in weight and is more tired than usual. Which of the following are most important to ask in the history? Select up to four
>
> 1. abdominal pain//////////
> 2. blurred vision
> 3. cats in the house
> 4. chronic cough
> 5. epistaxis
> 6. excessive milk intake (> 40 oz.) ///////////////
> 7. family h/o gluten sensitivity
> 8. family h/o SIDS (Sudden Infant Death Syndrome)
> 9. foreign body ingestion
> 10. foreign travel //////////////
> 11. h/o blood transfusion
> 12. joint pain
> 13. mother with lactose intolerance
> 14. nocturnal peri-anal itching
> 15. past h/o hepatitis
> 16. rash //////////////
> 17. vomiting
>
> Which physical findings would be most compatible with the boy's history? Select up to four
>
> 1. abdominal distention////////////
> 2. ascites
> 3. blue sclera
> 4. café-au-lait spots
> 5. capillary hemangioma
> 6. clubbing
> 7. dilated peri-umbilical veins
> 8. erythema nodosum ////////////////
> 9. grade 2/6 systolic ejection murmur
> 10. hemi-hypertrophy
> 11. increased AP diameter of chest
> 12. limp
> 13. pallor ////////////////////////
> 14. pectus escavatum
> 15. peri-anal erythema ??????
> 16. pericardial rub
> 17. rachitic rosary
> 18. wheezing
>
> Which of the following diagnoses would be most likely to consider? Select up to four
>
> 1. AIDS
> 2. Calici virus
> 3. Campylobacter enteritis
> 4. clostridium difficile diarrhea///////////////
> 5. cow's milk allergy//////////////////
> 6. cystic fibrosis
> 7. eosinophilic enteritis
> 8. foreign body ingestion
> 9. giardiasis
ÿ 10. Hennoch Schonlein vasculitis
ÿ > 11. intestinal lymphoma
> 12. intussusception
> 13. lactose intolerance
> 14. Meckel's diverticulum
ÿ 15. regional ileitis
ÿ > 16. rotavirus enteritis
> 17. Shigella enteritis
> 18. Toro irus
> 19. ulcerative colitis /////////////////
> 20. volvulus
>
> Which of the following laboratory tests would be most appropriate to order? Select up to four
>
> 1. CBC ///////////////////
> 2. C-reactive protein
> 3. Chest x-ray
> 4. 3 day stool fat
> 5. double contrast barium enema
> 6. ECG
> 7. ESR
> 8. Factor 8 assay
> 9. lactose H+ breath test
> 10. Meckel's scan
> 11. platelet account
> 12. PT and PTT
> 13. serum amylase
> 14. serum calcium
> 15. serum electrolytes ////////////////////////
> 16. serum protein electrophoresis
> 17. stool for culture and sensitivity//////////////////
> 18. stool or ova and parasites //////////////////////
> 19. sweat chlorides
> 20. TB test

maryana · Credits: 15476 My Scrapbook

anyone else????

Georges · Credits: 14588 My Scrapbook

An 8 y/o boy presents with a five week h/o diarrhea. He has 4-5 loose, watery stools daily. He is afebrile. For the past three weeks he has noted fresh blood in his stools. He has lost 5 lbs. in weight and is more tired than usual. Which of the following are most important to ask in the history? Select up to four
>
> 1. abdominal pain ***
> 2. blurred vision
> 3. cats in the house
> 4. chronic cough ***
> 5. epistaxis
> 6. excessive milk intake (> 40 oz.) ***
> 7. family h/o gluten sensitivity
> 8. family h/o SIDS (Sudden Infant Death Syndrome)
> 9. foreign body ingestion
> 10. foreign travel
> 11. h/o blood transfusion
> 12. joint pain
> 13. mother with lactose intolerance
> 14. nocturnal peri-anal itching
> 15. past h/o hepatitis
> 16. rash ***
> 17. vomiting
>
> Which physical findings would be most compatible with the boy's history? Select up to four
>
> 1. abdominal distention ***
> 2. ascites
> 3. blue sclera
> 4. café-au-lait spots
> 5. capillary hemangioma
> 6. clubbing
> 7. dilated peri-umbilical veins
> 8. erythema nodosum ***
> 9. grade 2/6 systolic ejection murmur
> 10. hemi-hypertrophy
> 11. increased AP diameter of chest
> 12. limp
> 13. pallor ***
> 14. pectus escavatum
> 15. peri-anal erythema
> 16. pericardial rub
> 17. rachitic rosary
> 18. wheezing ***
>
> Which of the following diagnoses would be most likely to consider? Select up to four
>
> 1. AIDS
> 2. Calici virus
> 3. Campylobacter enteritis
> 4. clostridium difficile diarrhea
> 5. cow's milk allergy ***
> 6. cystic fibrosis
> 7. eosinophilic enteritis
> 8. foreign body ingestion
> 9. giardiasis
> 10. Hennoch Schonlein vasculitis
> 11. intestinal lymphoma
> 12. intussusception
> 13. lactose intolerance
> 14. Meckel's diverticulum
> 15. regional ileitis
> 16. rotavirus enteritis
> 17. Shigella enteritis
> 18. Toro irus
> 19. ulcerative colitis ***
> 20. volvulus
>
> Which of the following laboratory tests would be most appropriate to order? Select up to four
>
> 1. CBC
> 2. C-reactive protein ***
> 3. Chest x-ray
> 4. 3 day stool fat
> 5. double contrast barium enema
> 6. ECG
> 7. ESR ***
> 8. Factor 8 assay
> 9. lactose H+ breath test
> 10. Meckel's scan
> 11. platelet account
> 12. PT and PTT
> 13. serum amylase
> 14. serum calcium
> 15. serum electrolytes ***
> 16. serum protein electrophoresis
> 17. stool for culture and sensitivity
> 18. stool or ova and parasites ***
> 19. sweat chlorides
> 20. TB test

jafer · Credits: 811 My Scrapbook

hi

noboday is thinking[ henonck schlenolin purpura] so choose joint pain reshes and shegelosis so choose forign trevel may be i am wrong

maryana · Credits: 15476 My Scrapbook

I agree with HSP, could be on differential.

maryana · Credits: 15476 My Scrapbook

Can ulcerative colitis present at 8 y/o?can someone tell me?

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