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+--- Thread: sugesstion needed - dr_usmle2012 (/showthread.php?tid=796072)
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0 - ArchivalUser - 11-11-2015
A 1-month-old, full-term infant is brought to the office because of vomiting. He had one other office visit at age 2 weeks. His mother states today that he was initially started on formula and spit up only occasionally until he was 2 weeks old. During the following week he began to vomit more frequently and his formula was changed to a soy-based formula. During the past week, he has vomited after each feeding and has lost weight. The vomitus is described as curdled milk without bile. At birth he weighed 3317 g (7 lb 5 oz; 50th percentile) and he now weighs 3515 g (7 lb 12 oz; 12th percentile). His current length is 56 cm (22 in; 75th percentile). Vital signs today are normal. The child has a vigorous cry and appears slightly dehydrated. Examination of the abdomen discloses a peristaltic wave starting in the left upper quadrant and progressing to the right. The diagnosis is best confirmed by which of the following?
A) Auscultation of the abdomen
B) Deep palpation of the upper abdomen
C) Examination of the groin
D) Examination of the stool for occult blood
E) Profuse diarrhea after rectal examination
0 - ArchivalUser - 11-11-2015
i think it it either A OR B
I will go with A
0 - ArchivalUser - 11-11-2015
BBBB
0 - ArchivalUser - 11-11-2015
b,,
0 - ArchivalUser - 11-12-2015
Deep palpation of the upper abdomen
0 - ArchivalUser - 11-12-2015
I meant B
0 - ArchivalUser - 11-12-2015
The correct answer is B
Hypertrophic Pyloric Stenosis
0 - ArchivalUser - 11-13-2015
A 50-year-old woman returns to the office for a periodic health evaluation. She has a history of hypotension. She says she has been feeling well and has no medical complaints. Her blood pressure today is 98/65 mm Hg. Funduscopic examination shows extreme cupping of the optic discs, with a cup-to-disc ratio of 0.8, bilaterally, and pink rims. Tonometry discloses an intraocular pressure of 16 mm Hg (N=10–22 mm Hg). Which of the following is the most appropriate next step?
A) Lumbar puncture for examination of cerebrospinal fluid
B) MRI of the brain
C) Reevaluation in 4 weeks
D) Referral to a neurologist
E) Referral to an ophthalmologist
0 - ArchivalUser - 11-13-2015
I think it should be B
0 - ArchivalUser - 11-13-2015
eee