3 Questions
By Graeme Quest
A 16 year old male high school student is referred to your clinic for a peculiar rash on his right forehead. The patient is concerned not only for the unsightly appearance of the rash, but also as it is quite painful when he combs his hair or wears a cap. The rash consist of numerous small vesicles on an erythematous base, and continues past his hairline.
During physical exam, you note that several of the vesicles have coalesced, while others appear to have developed a yellow, crusted appearance. There are no other lesions found on his body. Based on the appearance of the rash and the symptoms, your presumptive diagnosis is:
- Herpes gladiatorum 41%
- Fifth Disease 2%
- Impetigo 32%
- Infectious mononucleosis 0%
- Chickenpox 21%
- Measles 1%
Topics:
infectious disease,
pediatrics
By Graeme Quest
Which families of antibiotics work by inhibiting bacterial cell wall formation?
- Penicillins and Cephalosporins 83%
- Tetracyclines and Aminoglycosides 6%
- Macrolides and Polypeptides 3%
- Quinolones and Sulfonamides 7%
Topics:
infectious disease
By Anne Aspler
A three-year-old female was brought to Emergency in December because of vomiting and diarrhea. Her mother reports that she has been drinking more water than usual but is unable to keep liquids down. Her temperature is 39.5, she is slightly tachycardic (105 beats/min) and respirations of 26/min. Urine had a high specific gravity and was negative for fecal leukocytes
What is the first thing you should initiate for this child?
- oral rehydration 20%
- fever reduction using aspirin 2%
- oral or IV rehydration, depending on the circumstances 31%
- IV rehydration 42%
- antibiotics depending on causative agent 3%
Topics:
emergency medicine,
pediatrics