A 15-year-old Afro-Caribbean boy presents with a temperature of 37.2C and acute abdominal pain. He has previously undergone a splenectomy secondary to sickle cell disease. Clinically he is jaundiced. An ultrasound scan demonstrates a common bile duct diameter of 10mm. What is the most likely diagnosis?
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?
A 5 month old boy presents with a history of one episode of green vomiting. Upon clinical examination, doctors notice an acutely swollen mass located in the groin, extending to the scrotum. What is the most probable diagnosis and what’s the most appropriate management?
A 15-week-old baby boy is brought to the emergency by his parents due to vomiting and weight loss. Physical examination reveals a central palpable mass in the abdomen. Ultrasound examination shows a pylorus 8mm long and a target sign centrally. What is the most likely diagnosis?
A 2-day old neonate is brought to the hospital with complaint of not having opened his bowels. On examination, the anus is not visible, and meconium is coming out of the urethra. Which of the following statements regarding this patient is most accurate?
A 17 year old girl is taken to the hospital with a 10 hour history of pelvic pain. Her last normal menstrual cycle was 14 days ago and she is otherwise well. Her abdomen was soft with mild suprapubic pain on examination. What is the underlying cause?
An 8 year old male child of Afro-Caribbean descent complains of acute abdominal pain. Clinical examination reveals a soft abdomen. The boy is tachycardic and has an Hb of 6 g/dl. His mother says she noticed fresh rectal bleeding. What is the most probable diagnosis?
An 8 year old male who is unable to retract his previously retractile foreskin has been treated with 1% hydrocortisone for 3 months. He presents with a white and thickened foreskin. What would you do next to manage his condition?
A 6 year old child presents with acute scrotal pain. Clinical examination reveals scrotal tenderness, redness, swelling, and associated hydrocele. What is the most likely diagnosis?
A 1-year old child is brought to the ER with abdominal distension and bilious vomiting. Radiological examination shows distended bowel loops and gas in the rectum. Her mother reveals that the baby had surgery at the two days of age for a twisted intestine. Blood gas analysis from a sample drawn from a capillary shows a pH of 7.34 and lactate of 2. Which of the following is the most appropriate management step?