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Right Lower Abdominal Pain Right Lower Abdominal Pain
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Old 12-19-2009
Sarah-cali's Avatar
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Question Right Lower Abdominal Pain
A 15 year old boy from Michigan developed severe right lower abdominal pain and fever.
Blood culture revealed this growth
Right Lower Abdominal Pain-ye.jpg

The causative agent illustrated has which of the following characteristics?
a- Goagulase positive
b- Produces heat stable enterotoxin
c- May also causes rectal prolapse
d- Can be grown on TCBS (Thiosulfate Citrate Bile salt Sucrose) medium
e- Is sexually transmitted
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Old 12-19-2009
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I think the answer is B
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Old 12-20-2009
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I choose B also
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Old 12-20-2009
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Yes correct,
this is yersinia enterocolitica which causes pseudoappendicitis clinical picture and it produces heat stabel enterotoxin.

choice A: yersinia pestis is coagulase positive but not enterocolitica
choice C: rectal prolapse is caused by whipworm
choice D: TCBS is for vibrio
choice E: It's not sexually transmitted but fecal-oral transmission
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microbiology , step1qpool , surgery

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