You are the provider on a Pediatric floor in the hospital. A…
You are the provider on a Pediatric floor in the hospital. A new admission is brought in for observation due to consistent bloody diarrhea with GI upset. The patient’s mother is trying to give you the child’s history, but she is distress as she has two other children with her, and no one has had nap time. The mother explained that the child has some kind of French named disease but can’t recall the exact name. You as a brilliant microbiologist student remembered that the associated disease name was called Guillain-Barre Syndrome. The next step is to run routine labs and get a gram stain. The labs showed a gram-negative bacterium that was partially comma shaped. What is the causative agent and the first line treatment?
Read DetailsA 10-month-old boy present for complaints of “screaming epis…
A 10-month-old boy present for complaints of “screaming episodes” for the past 24 hours. He appears well except for episodes of screaming with flexion of the hips and knees about every 25-30 minutes. The episodes last < 1 minute and he appears well again right after. He has had 2 episodes of non-bilious vomiting. Parents deny fever, blood in stool or vomit. Vital signs and hydration are normal. On exam, he has hyperactive bowel sounds in the right upper quadrant. His abdomen is not notable tender. Rectal and stool exams are negative for blood. What is the BEST next step in management?
Read DetailsA 3-year-old boy is evaluated by a pediatrician for symptoms…
A 3-year-old boy is evaluated by a pediatrician for symptoms of malabsorption. Since age 5-months, he has had bulky, strong-smelling stools with painful abdominal bloating and flatulence after eating breakfast each morning. He is currently eating a normal diet but appears malnourished. On physical exam, his abdomen is distended. If you ordered an intestinal biopsy, which of the following findings would most likely be present?
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