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  #1  
Old 10-08-2011
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Question RUQ Pain in a child!

A 5 year old boy has had increasing abdominal pain over the last 24 hours. He has not vomiting, diarrhea, or other symptoms of illness except for mild decrease in appetite. On physical exam, he appears ill and is in mild distress. Temperature is 38.3 C (102 F), pulse is 112/minute, respirations are 45/minute. Abdominal examination reveals mild tenderness and guarding in the right upper quadrant area. The next best step in management is to obtain:

A. an abdominal ultrasound
B. a chest x-ray
C. a CBC and blood culture
D. serum amylase and lipase
E. a urine culture



PS: it would be nice if you can post why you choose a certain answer and to add your diagnosis to this clinical scenario!
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  #2  
Old 10-20-2011
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Looking at the pain location RUQ my thoughts go to Liver and gallbladder but since its a kid i still would maybe suspect appendicitus.

so in that situation i would do abdominal US.
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Old 10-20-2011
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Quote:
Originally Posted by docnas View Post
Looking at the pain location RUQ my thoughts go to Liver and gallbladder but since its a kid i still would maybe suspect appendicitus.

so in that situation i would do abdominal US.

I would like to get more opinions....I will post the right answer and the explanation soon.
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Old 01-21-2012
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Default Does make sense!

I have to agreed with you.
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Old 01-21-2012
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in my opinion i will do a CBC as it would direct me whether it is most serious condition which can be leukemia ( ALL) and WBCs can show me if there is an infection to look for it give me a little picture , i think CBC is really good to start with can direct me and decrease the big range of differential diagnosis as the clinical presentation is very not clear
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Old 03-11-2012
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Initial should be c.. I think

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Infectious-Diseases, Pediatrics-, Step-3-Questions

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