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  #1  
Old 07-10-2011
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Eye Baby with cough and eye discharge!

10 day old infant brought by the mother for evaluation of purulent discharge from both eyes. Discharge appeared 3 days ago after which the child developed cough. On exam, eyes have purulent discharge, chest has diffuse rales with out wheezing. Chest x ray shows hyperinflated chest.
Diagnosis is
1) gonococcal conjunctivitis
2) chlymidia infection
3) rubella infection
4) chemical conjunctivitis
5) adenoviral infection
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  #2  
Old 07-10-2011
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adenoviral infection. Even though chlamydia can be considered, chalmydia conjunctivitis happens after 2 weeks so i chose adenovirus.
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Old 07-10-2011
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Answer is chlymidia due to eye and pulmonary features.but could be adenovirus since its common in newborn....but i will go with chlymidia.
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Old 07-10-2011
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Default chlymidia infection

the new born has conjunctival and chlymidial infection.chlymidia is usually transmitted from mother to noenate through passage from the birth canal.chlymidia is the most common causative agent of neonatal conjunctivitis.it develops few days to several weeks after the birth.in adenoviral infection conjunctivitis is serous rather than purulentand it is upper resp tract with fever but no rales on exam .
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Old 07-10-2011
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2)chlymidia infection
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  #6  
Old 07-10-2011
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Default 2

2222222222222222
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Old 07-10-2011
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2-chlamydia
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  #8  
Old 07-11-2011
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Correct Answer

2) chlymidia infection

Cough with purulent eye discharge in infants over 5days old..
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Old 07-11-2011
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Chlamidya infection is sounds like due to the pneumonia
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Old 07-11-2011
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I agree

answer is (2)
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Infectious-Diseases, Pediatrics-, Step-2-Questions

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