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* nbme 4
 #139098  
  angioplasty - 11/16/06 16:53
 
  4. An 8-year-old boy is brought to the office because of a 5-day history of fever, coryza and cough that coincides with an epidemic of influenza in the community. Today he is unable to walk because of pain in the calves. His mother has been giving him acetaminophen for fever and pain. Physical examination shows a temperature of 38.3°C (101.0°F). He is alert, interactive and well-hydrated. He has clear rhinorrhea, mild pharyngeal erythema and a clear chest. His calves are tender to palpation. Strength cannot be tested because of pain. Neurologic examination, including deep tendon reflexes, is normal. Which of the following is the most appropriate therapy?



A

) Acetaminophen, orally, as needed

B

) Amantadine, orally

C

) Immune globulin, intravenously

D

) Influenza virus vaccine, intramuscularly

E

) Prednisone, orally
 
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* Re:nbme 4
#561254
  dr_nuri - 11/16/06 17:01
 
  a....  
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* Re:nbme 4
#561258
  angioplasty - 11/16/06 17:06
 
  i also goes with a  
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* Re:nbme 4
#561353
  anand11anupa - 11/16/06 18:11
 
  a ,,  
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* Re:nbme 4
#562581
  pedres - 11/17/06 14:49
 
  a - benign acute child hood myositis usually seen after flu  
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* Re:nbme 4
#562950
  tea - 11/17/06 17:32
 
  a
 
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