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  #1  
Old 10-31-2012
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X Ray 5 year old boy with neck X ray

A 5 year old boy presents to the doctor with the following X ray. What is the most likely treatment?

A) Mebendazole
B) Ceftriaxone
C) Surgical treatment
D) Chemotherapy
E) Interferon gamma

5 year old boy with neck X ray-throat.jpg
click image to enlarge
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  #2  
Old 10-31-2012
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i think it's thumb print sign--epiglottitis(H.influenzae)

so treatment could be surgery or ceftriaxone in my opinion..(confusing options)..

i think C) surgery.......(cricothyroidotomy)

but also ceftriaxone looks promising option though


thanks
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Old 10-31-2012
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Yeah i have seen this xray somewhere
I think its Epiglottitis and whenever epiglottitis is suspected, since the person is in danger of sudden and unpredictable closing of the airway the doctors must establish a secure way for the person to breath.Antibiotics may be prescribed to the patient.

B or C I am going with C:sorry:
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Old 10-31-2012
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Default my answer :)

C) Surgical tratement;?
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Old 10-31-2012
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This is a typical sign on X ray for H influenze type B epiglotitis called the thumb sign. I think I haven't formulated this question very well, but I thought of the antibiotics that you would give to a patient with H influenzae (Ceftriaxone). Why did you guys answered surgical treatment? Have you thought of tracheal intubation? I am sorry for misleading you guys!
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Old 10-31-2012
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thumb sign of acute epiglottitis.
i think its antibiotic ie CEFTRIAXONE
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Old 10-31-2012
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Quote:
Originally Posted by Teona View Post
This is a typical sign on X ray for H influenze type B epiglotitis called the thumb sign. I think I haven't formulated this question very well, but I thought of the antibiotics that you would give to a patient with H influenzae (Ceftriaxone). Why did you guys answered surgical treatment? Have you thought of tracheal intubation? I am sorry for misleading you guys!
ya thumb sign on x ray finding indicates medical emergency at most of times...so stem should clearly present stating whether it is severe condition or general condition in my opinion..........

anyways thanks for the question(revised it fully)
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Default My answer B

Looks like epiglotitis , ceftriaxone -->haemophilus
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Old 11-01-2012
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Angry :(

Yes I thought of Intubation
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