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@Aroma_s1 كل من يرى هذه الكلمات أدعُ بصدقِ المخبتين المخلصين لأهلنا في غزة اللهم فرج كربهم وانصرهم خير النصر وأحسنه واخذل من خذلهم وباع قضيتهم؛ آمين.
إظهار المزيد1 155
المشتركون
+224 ساعات
+217 أيام
+45130 أيام
- المشتركون
- التغطية البريدية
- ER - نسبة المشاركة
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Arthrogryposis, also called arthrogryposis multiplex congenita (AMC), is a term used to describe a variety of conditions involving multiple joint contractures (or stiffness).
Of the following, the BEST next step in this boy’s management is:Anonymous voting
- blood culture and empiric antibiotics
- chest radiography
- peripheral intravenous saline bolus
- supplemental oxygen
A 12-month-old boy is seen in the emergency department for cough, fever, and decreased oral intake for the past 2 days. He has had the normal number of wet diapers and no diarrhea. He has a history of hypoplastic left heart syndrome (HLHS), which was initially palliated with a Norwood-type repair and at 5 months of age with a bidirectional Glenn procedure (cavopulmonary anastomosis). The boy has been doing well since his last surgery and receives consistent cardiologic follow-up. The cardiologist had no concerns at the last clinic visit. His vital signs are as follows: temperature, 38 °C; heart rate, 170 beats/min; respiratory rate, 50 breaths/min; blood pressure, 95/50 mm Hg; and oxygen saturation, 67% in room air (average of 80%-85% since last surgery).
He is alert and interactive, with mildly increased work of breathing without acute distress. On lung auscultation, air movement is adequate and equal bilaterally, with mild wheezing and without stridor. He has well-healed surgical scars. Capillary re ll time is 2 to 3 seconds. The remainder of his examination ndings are normal.
#Prep_pearls
The rst line of treatment for preschool-aged children with attention-de cit/hyperactivity disorder is behavioral management. For those who continue to have a moderate to severe level of impairment with behavioral interventions, medication can be considered.