The father of a 3 month old baby presents to the child health clinic complaining that his child passes only one hard stool a day. He has tried to bicycle his legs and massage his abdomen but has not been successful. The baby seems to be growing well, and nothing of concern was found on clinical examination. What is the most appropriate next step?
A 15-year-old girl presents with a history recurrent abdominal pain and intermittent diarrhoea over the past one year. During these episodes, she may pass 3-7 very loose stools with mucus. Recently, over the past two months, she has passed stools mixed with blood. Her mother also complaints although she has not lost weight, she has failed to gain the appropriate weight for age according to her growth chart. The child is yet to attain her menarche, and her mother suffers from vitiligo. Clinical examination was unremarkable.Blood investigations revealed:Hb: 12.3 g/dLESR: 38 mm on the first hourTotal and differential counts were within normal limits, and an autoantibody screen was negative.What is the next most relevant investigation you will order?
Which of following not seen in niacin deficiency?
Which of the following dermatological conditions is not recognised to be associated with Crohn’s disease?
A 10-year-old girl presents to the hospital with complaints of weight loss, diarrhoea, and abdominal pain. Her food intake has drastically reduced but she is drinking normally. She also complains that she feels tired all the time.On examination, the presence of aphthous ulcers and generalized abdominal tenderness was noted. Considering the clinical presentation, what could be the most probable underlying disorder causing the child’s symptoms?
A routine vitamin D screening test reveals low calcium levels in a 3-year-old child.Which of the following could cause low calcium levels due to an artefact?
A 14-year-old boy was admitted by the Child and Adolescent Mental Health Services (CAMHS) team. He was brought to the hospital with symptoms of psychosis. He now complains of abdominal pain with abdominal examination revealing hepatomegaly. Which of the following investigations will most likely confirm the diagnosis?
What is the most common position of the appendix?
A 10-year-old boy presents with severe abdominal pain and jaundice. His family is originally from Ghana.An ultrasound shows evidence of gallstones. What is the most likely risk factor for the child to develop gallstones?
A 7-week-old infant is brought to the emergency department by his mother. She complains that the child is having episodes of non-bilious vomiting for the past 10 days. She observed that the episodes typically occur directly after feeding and notes that the volume brought up varies, but that her baby does seem to be very hungry and has not gained much weight. What is the most probable diagnosis for this infant?