nbme - vuyyuru

[ArchivalUser]

3 years old, African american child is brought to the office by grandmother .she says he was OK until this afternoon,when he suddenly had fever.he is spitting a lot.he keeps his mouth open and refuses to lie down. or eat.he has received only one set of vaccination at 2 mth age.temp-103f.PE child sits up in tripod position and salivation is evident.which of the following is most appropriate.

1 administration os cefotaxime iv
2 cbc and blood culture
3 determination of ABG
4 immediate otolaryngology consultation
5 lateral neck xray

[ArchivalUser]

555

[ArchivalUser]

4. epiglotittis, (otorino or anaethes consult for intubation)