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Questions and Answers
What condition is the 14-year-old boy most likely suffering from given his symptoms?
What condition is the 14-year-old boy most likely suffering from given his symptoms?
- Polymyositis
- Guillain-barre syndrome (correct)
- Multiple sclerosis
- Acute poliomyelitis
What is the most appropriate treatment for the 5-year-old boy experiencing seizures?
What is the most appropriate treatment for the 5-year-old boy experiencing seizures?
- Phenytoin
- Diazepam
- Paracetamol (correct)
- Amoxicillin
Which intervention is shown to decrease the incidence of Sudden Infant Death Syndrome?
Which intervention is shown to decrease the incidence of Sudden Infant Death Syndrome?
- Soft sleeping mattress
- Pacifier at bedtime (correct)
- Sleep position support device
- Sleep in prone position
In which condition should circumcision be avoided?
In which condition should circumcision be avoided?
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What vital signs were noted for the 14-year-old boy?
What vital signs were noted for the 14-year-old boy?
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Study Notes
Case Study 1: 14-Year-Old Boy with Progressive Weakness
- 14-year-old boy with a history of epilepsy presents with progressive weakness and tingling in lower limbs.
- Symptoms started two days ago, with facial, trunk, and upper limb involvement absent.
- Previous illness included fever and runny nose occurring 10 days prior to presentation.
- Physical examination shows 3/5 muscle strength in both lower limbs and absent reflexes.
- Vital signs: Blood pressure 120/80 mmHg, heart rate 85/min, respiratory rate 18/min, temperature 37.4°C.
- Most likely diagnosis: Guillain-Barré Syndrome, characterized by acute limb weakness and sensory changes.
Case Study 2: 5-Year-Old Boy with Seizure
- 5-year-old boy experienced a convulsion affecting all limbs lasting 3 minutes, with drooling and loss of consciousness.
- Recent history includes runny nose, mild cough, and fever lasting 3 days.
- Currently active with a mildly congested throat on physical examination.
- Vital signs: Blood pressure 120/80 mmHg, heart rate 98/min, respiratory rate 22/min, temperature 37.9°C.
- Most appropriate treatment option is Paracetamol for managing fever.
Sudden Infant Death Syndrome (SIDS) Prevention
- Use of a pacifier at bedtime may decrease the incidence of SIDS.
- Prone sleep position, soft sleeping mattresses, and sleep position support devices are not recommended for SIDS prevention.
Circumcision Considerations
- Circumcision should be avoided in cases of hypospadias due to potential complications.
- Phimosis, unilateral cryptorchidism, and posterior urethral valve are conditions where circumcision may still be considered.
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Description
Test your knowledge on neurological conditions with this quiz focusing on a 14-year-old boy presenting with lower limb weakness and tingling. Evaluate various potential diagnoses based on clinical symptoms and history. Can you determine the most likely diagnosis?
