![]() On physical examination, his vital signs are stable. ![]() The child is otherwise healthy, up-to-date on his immunizations, and not taking any medications. There were no witnesses to this incident, which occurred 8 hours ago. Which of the following electrolyte findings will most likely be seen?ĭ)Respiratory acidosis with metabolic compensationĤ.A 5-year-old boy is brought to his pediatrician's office after he falls from his bicycle and strikes his head against the sidewalk. An abdominal examination reveals an olive-sized mass in the epigastrium. On examination, his oral mucosa is dry, his anterior fontanel appears to be depressed, and his capillary refill is 3-4 seconds. The vomitus contains mostly undigested formula and is non-bilious. He has been vomiting after almost every feeding. Which of the following levels should be measured to aid in the diagnosis of this patient?ģ.A 3-week-old boy presents to the physician's office with a 1-week history of forceful, projectile vomiting. ![]() On physical examination, he is found to be semicomatose, becoming combative on stimulation. However, 4 days later, he is brought back by his parents because of persistent vomiting and irritability. He is given a decongestant and an aspirin for his symptoms with some relief. He has been a healthy child with all immunizations up to date. Which of the following would be consistent with these findings?Ģ.A 5-year-old boy develops a headache, cough, myalgia and a fever. The blood work results reveal a normal blood count, but a hyponatremic, hypochloremic, metabolic alkalosis. When you finish the test, click the Check button at the bottom to view the results.ġ.A vomiting infant is brought to the emergency room. Instructions: Answer the questions below to the best of your ability.
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