Parents have brought their 7-year-old child into the emergency ...

[hbsimmons88]

Parents have brought their 7-year-old child into the emergency room with abdominal pain. Which of the following clinical manifestations would lead the health care team to suspect the child has appendicitis? Select all that apply.
 
  A)
  Tenderness in right lower quadrant with palpation
  B)
  Rebound tenderness in inguinal areas with palpation
  C)
  Redness and warmth over right lower quadrant
  D)
  Bloating and flatulence noticeable
  E)
  Urine has the smell of stool with brown coloring

Question 2

During a humanitarian trip to an underdeveloped country, a medical student is assessing a 6-year-old male who has a protuberant abdomen, dry hair, and wrinkled skin.
 
  The child's heart rate is 59 beats/minute, blood pressure 89/50, and temperature 95.2 F (35.1 C). What is the most likely etiology of the child's health problems?
  A)
  A diet lacking in fat-soluble vitamins
  B)
  Fluid and electrolyte imbalances secondary to low -carbohydrate intake
  C)
  A diet that is low or high in carbohydrates but low in fat
  D)
  A diet deficient in both protein and calories

[miss_1456@hotmail.com]

Answer to Question 1

Ans:
A, B

Feedback:

Appendicitis usually has an abrupt onset. Palpation of the abdomen usually reveals a deep tenderness in the LRQ, which is confined to a small area approximately the size of the fingertip. It usually is located at approximately the site of the inflamed appendix. Rebound tenderness, which is pain that occurs when pressure is applied to the area and then released, and spasm of the overlying abdominal muscles are common. An abscess may display redness and warmth. Bloating and flatulence are usually seen with diverticular disease as is the development of fistula (vesicosigmoid), where stool is seen in the urine.

Answer to Question 2

Ans:
D

Feedback:

The child's presentation is typical of marasmus, a diagnosis caused by deficiencies in protein and calorie intake.

[hbsimmons88]

Thanks for the timely response, appreciate it

[emsimon14]

TYSM