27-sample questions- What's the diagnosis? - cappacino

[ArchivalUser]

27. A 6-year-old boy from rural Mississippi is brought to the physician by his mother because of a 6-month history of lethargy; he also has had a 4-kg (9-lb) weight loss during this period. The mother says her son used to be active, often playing outside without wearing his shoes. The patient is at the 10th percentile for height and 12th percentile for weight. He appears pale. Physical examination shows pale oral mucosa. Laboratory studies show iron deficiency anemia. Microscopic examination of the stool shows thin-shelled ova. Which of the following is the most appropriate pharmacotherapy for this patient?
(A) Doxycycline
(B) Ivermectin
© Mebendazole
(D) Mefloquine
(E) Trimethoprim-sulfamethoxazole


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Is it Schistosomia infection rx by Ivermectin?

[ArchivalUser]

The anaemia is caused by hookworm infestation. Hookworm ova are characteristically thin shelled, and the treatment are -bendazole drugs. in this case mebendazole.

[ArchivalUser]

another clue- often playing outside without wearing his shoes

[ArchivalUser]

I'm sorry, I meant to stay Strongyloids----- I was thinking of that so I chose Ivermectin... ?

Cutaneous are Ancylostoma-Necator-Strongyloids.... so why not Ivermectin.

Thank you...

[ArchivalUser]

In FA it says the treatment for Strongyloids is Ivermectin+bendazole

[ArchivalUser]

hookworm larva penetrates skin.

[ArchivalUser]

Ah, I got it. Thanks for all your feed back!