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+--- Thread: Some More NBME 1 Q - arivederci (/showthread.php?tid=176935)
Some More NBME 1 Q - arivederci - ArchivalUser - 04-07-2007
A 14-month-old girl is brought to the physician because of a 14-hour history of irritability and episodes of drawing her knees toward her chest. During this period, she has vomited nonbilious fluid twice and had a bowel movement containing a small amount of blood. She had an upper respiratory tract infection 2 weeks ago. She is listless except for intermittent episodes of discomfort. Her temperature is 38 C (100.4 F). Abdominal examination shows right-sided tenderness without guarding or rebound; bowel sounds are present. Rectal examination shows bright red blood and mucus. An x-ray film of the abdomen shows no abnormalities. Which of the following is the most appropriate next step in management?
A) X-ray film of the upper gastrointestinal tract with contrast
B) Water-soluble contrast enema
C) Corticosteroid enemas
D) Admission to the hospital for total parenteral nutrition
E) Immediate laparotomy
888888 - ArchivalUser - 04-07-2007
B?
0 - ArchivalUser - 04-07-2007
..B???
0 - ArchivalUser - 04-07-2007
thank u guys
0 - ArchivalUser - 04-14-2007
B for sure
0 - ArchivalUser - 04-14-2007
what is this? diagnosis?
0 - ArchivalUser - 04-14-2007
intusssoption
0 - ArchivalUser - 04-15-2007
yeah intussusseption - clue is drawing the knees toward chest