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A 12-Year-Old Boy Is Brought Back to the Emergency Department

question 634

Multiple Choice

A 12-year-old boy is brought back to the emergency department (ED) by his mother due to worsening symptoms. The boy was evaluated in the ED yesterday for 3 days of fever, abdominal pain, generalized body aches, and headache. Evaluation revealed no significant abnormalities at that time, and the boy was sent home and advised to take ibuprofen. However, overnight he developed confusion and worsened abdominal pain. The patient lives near a lake surrounded by woods and often plays there with his friends. Temperature is 39 C (102.2 F) , blood pressure is 90/60 mm Hg, pulse is 120/min, and respirations are 20/min. There is no neck stiffness or lymphadenopathy. Oropharynx is clear. A maculopapular rash is now present on the arms and legs. There is nonspecific generalized abdominal tenderness with no rebound or rigidity. Neurologic examination is nonfocal. Laboratory results are as follows: CT scan of the abdomen shows no abnormalities. What is the most appropriate next step in management?

Comprehend the treatment of excess consideration transferred over book value.

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Definitions:

Empathy

The ability to understand and share the feelings of another, seeing things from their perspective and experiencing emotions that mirror theirs.

Psychoanalysis

A therapeutic approach developed by Freud, focusing on uncovering unconscious motives and conflicts to treat psychological disorders.

Insight Therapies

Psychological treatments that focus on increasing patients' understanding of themselves and their issues.

Behaviour Therapies

A broad range of techniques used to change maladaptive patterns of behavior through the application of learning principles.