paeds742

A 12-year-old child has developed a fever and maculopapular rash on his back. What diagnosis should he be given?

paeds743

A 3 year old child was brought in by her father with complaints of watery diarrhoea, vomiting and low grade fever. She looked slightly dehydrated. According to her parents, the other children in the school also have a similar illness. The most likely causative organism in this case would be?

paeds744

A 3-year-old boy was brought at the hospital by his mother due to sudden onset pyrexia with emesis and bilateral facial swelling. Upon history taking, she mentions that she brought her son to the GP who suggested analgesics for his bilateral parotid pain, 2 days ago. What would be the next step of your management?

paeds745

A 6 year old presents with fever and multiple vesicles on his back. What is the single most appropriate next step?

paeds746

A healthy 8 month old baby boy was brought in by his parents, who claimed that the baby had come into close contact with another child with measles two days ago. Which of the following is the most appropriate management?

paeds747

An 8 week old baby presents with a fever of 38 degrees. What is the most appropriate course of action?

paeds748

An 8 year old boy presented with easy bruising following falls. FBC showed leucocytosis and thrombocytopenia with normal haemoglobin levels. His ESR was high and Paul-Bunnell test was positive. Which of the following is the most probable diagnosis?

paeds749

A 15-year-old girl was diagnosed with bacterial meningitis. Gram staining of the spinal fluid shows numerous polymorphonuclear neutrophils and Gram-positive cocci. Which is the empiric drug of choice to be given to the patient until the antibiotic sensitivity report is available?

paeds750

A 7-month-old baby girl is admitted with poor feeding and irritability for 2 days. She is lethargic and persistently crying. Urine dipstick showed leucocytes. What is the single most important investigation to arrive at a diagnosis?

paeds751

A 7-year old child from a rural setting complains of recurrent abdominal pain. The child is found to have a heavy parasitic infestation and anaemia. Which type of anaemia is most likely seen in this patient?