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-   -   so you think you could be an MD? (http://archives2.twoplustwo.com/showthread.php?t=391405)

DoubleDown 12-04-2005 10:26 PM

Re: so you think you could be an MD?
 
Expert,

maybe my sarcasm filter is malfunctioning, but ummmmm... yes, you can.

unexpertly yours,
DD

garion888 12-04-2005 10:36 PM

Re: so you think you could be an MD?
 
I think they are all candidates for post-third trimester abortion.

PS: I never thought I could be an MD...you proved me wrong. I know this prognosis is correct.

HopeydaFish 12-04-2005 10:43 PM

Re: so you think you could be an MD?
 
[ QUOTE ]

2 - An eight-year-old female presents with abdominal pain, pruritic lesions on the buttocks

[/ QUOTE ]

That's so hot.

Glenn 12-04-2005 10:47 PM

Re: so you think you could be an MD?
 
1. Sounds like he has measles. So isolate him, vaccinate anyone he's been in contact with that's never had it, and manage his symptoms.

2. Rheumatic fever? The joint swelling made me think that right away but I'd need way more info to make that determination. Either you left out a bunch of symptoms or I am completely off base here. I would ask if the child had a sore throat within the past month or so at least...

3. This is not nearly enough information. You basically just try and get him hydrated and treat his symptoms to maybe get some nutrients in his body. Take a history to try and find out what caused this (like have you been out of the country, etc). That will give you a better idea where to start looking (parasite, virus, etc). The blood in the stool means it's reasonably serious, but that's about all you can get from that info. Need to run some blood tests and take a stool sample to know where the blood is coming from and how much he is losing.

MrX 12-04-2005 10:48 PM

Re: so you think you could be an MD?
 
[ QUOTE ]


1 - A 4-year-old boy presents with a five-day history of fever and rash. He has received acetaminophen and amoxicillin without improvement. He is very irritable with a temperature of 103.6 F, bilateral non-purulent conjunctivitis, enlarged cervical nodes, puffy hands, and a maculopapular rash. How would you evaluate and manage this patient?



[/ QUOTE ]

This kid has sequelae of an accident, probably hit by a Kawasaki.

X

garion888 12-04-2005 10:54 PM

Re: so you think you could be an MD?
 
Alright my last post was in jest. The first kid looks like he has kawasaki disease although he's a little old for it.

Glenn 12-04-2005 11:01 PM

Re: so you think you could be an MD?
 
damnit you're right i just ignored the swollen hands [img]/images/graemlins/smile.gif[/img].

garion888 12-04-2005 11:04 PM

Re: so you think you could be an MD?
 
Number 2's got Henoch-Schonlein Purpura.

garion888 12-04-2005 11:09 PM

Re: so you think you could be an MD?
 
Number 3 looks like colitis caused by E. Coli poisoning. Clean up the house dammit.

DoubleDown 12-04-2005 11:09 PM

Re: so you think you could be an MD?
 
X: nice work on #1


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