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  #1  
Old 07-09-2012
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Pediatrics Six months old infant with air-fluid levels

Six months old male with vomiting, crying and distress, no medical history, normal development. An abdominal X-Ray shows air fluid levels. Dx?

A. Volvulus due to malrotation
B. Intussusception
C. Adhesions
D. Congenital pyloric stenosis
E. Hirschprung disease
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  #2  
Old 07-09-2012
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AA ???????????:confused :

O God I will never learn medicine.lolz
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  #3  
Old 07-09-2012
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B..................
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Old 07-09-2012
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Answer is B
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Old 07-09-2012
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Dx?


A. Volvulus due to malrotation
B. Intussusception
C. Adhesions
D. Congenital pyloric stenosis
E. Hirschprung disease
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  #6  
Old 07-10-2012
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Answer: intussusception

It is the most common cause of GI obstruction in children 3mo-6 years (peak 5-10 mo).
I guess I was expecting classical signs such as rectum bleeding and "sausage like" mass when palpating the abdomen, but I believe the symptoms presented in the vignette are consistent with early symptoms.
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Old 07-10-2012
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Guess the only way to differentiate this in the history given from volvulus is the age presentation???
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  #8  
Old 07-10-2012
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Quote:
Originally Posted by Teona View Post
6 mo old male with vomiting, crying and distress,no medical history,normal development. An abdominal X-Ray shows air fluid levels. Dx?


A. Volvulus due to malrotation
B. Intussusception
C. Adhesions
D. Congenital pyloric stenosis
E. Hirschprung disease
I'm go with B.

My opinion towards not choosing A: it's usually seen in elderly; not choosing C: since the infant is with no medical history, rarely possible to have surgery before; not choosing D: congenital pyloric stenosis probably won't present the air-fluid levels in intestines, which can be detected on abdominal X-ray; not choosing E: Hirschprung disease results from the lack of neuron support for colon, resulting in the dilation and non-movement of those bowls which leads to constipation and failure of passing meconium.
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Old 07-12-2012
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Default answer thz

A 62-year-old Caucasian male who recently underwent a mitral valve replacement is having low-grade fevers. He also complains of dyspnea and malaise. Repeated blood cultures grow Gram-positive cocci in clusters that are catalase-positive and coagulase-negative. Which of the following is the best initial treatment for this patient?

A. Penicillin G
B. Nafcillin
C. Vancomycin
D. Ciprofloxacin
E. Erythromycin
F. Ceftriaxone
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  #10  
Old 07-12-2012
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nafcillin or vanc.... i ll go for nafcillin
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