paeds1085

A 7-year-old girl was brought to the hospital with complaints of fever. 5 days ago, she was taken to her GP with lower abdominal pain and leukocytes 3+ on urine dipstick. She was treated with trimethoprim. On examination, she is found to have a low-grade pyrexia, a CRP of 254 mg/L, and a palpable mass in the right iliac fossa. She is able to consume both solids and liquids. Based on the clinical scenario, what is the probable diagnosis and most appropriate management for this child?

paeds1095

A 3-year-old girl with febrile convulsions was given IV Lorazepam. What is the single most serious side effect associated with IV Lorazepam?

paeds1088

A 15-year-old Afro-Caribbean boy presents with a temperature of 38.5C and acute abdominal pain. He has previously undergone a splenectomy secondary to sickle cell disease. On examination, he’s found to be tachycardic. Abdominal examination reveals guarding. An ultrasound scan shows gall stones in the gall bladder, free fluid in the pelvis and an appendix with a diameter of 8 mm.What is the most probable diagnosis?

paeds1096

A child suffering from a chest infection is prescribed flucloxacillin. A few days later, he develops jaundice, dark urine, and pale stools. What is he suffering from now?

paeds1094

A 15-year-old boy complains of fever, headache, and neck stiffness. On examination, Kernig’s and Brudzinski’s signs were positive. In the meantime, while awaiting the results from blood culture, how will you manage this patient?

paeds1099

A 3-year-old boy presents with a patchy rash after treatment for an enlarged cervical lymph node and sore throat. What is the antibiotic that caused this rash?

paeds1090

In a premature infant boy, an inguinal hernia will most likely:

paeds1092

What percentage of infants born with meconium Ileus have cystic fibrosis?

paeds1097

A young man has ingested 25 tablets of paracetamol 500 mg. What is the suggested minimum time interval between ingestion and measuring the blood plasma paracetamol levels?