A 2-Year-Old Boy Is Brought to the Emergency Department by Ambulance

question 567

Multiple Choice

A 2-year-old boy is brought to the emergency department by ambulance due to convulsions.  This morning, the patient was sitting on the sofa at home when he suddenly developed rhythmic movements of both arms and legs that lasted about 3 minutes.  He was not responsive during the event.  Emergency personnel report that the child was sleepy and seemed confused when they arrived.  The patient has had rhinorrhea for the past 2 days and fever since this morning.  He has had no cough, vomiting, or diarrhea.  The patient has no chronic medical conditions, and immunizations are current.  His uncle has epilepsy.  Temperature is 39.2 C (102.6 F) .  Physical examination shows an alert and playful toddler.  Bilateral conjunctivae are clear, and clear rhinorrhea is present.  The neck is supple with full range of motion.  Mucous membranes are moist, and capillary refill is <2 seconds.  The remainder of the examination is normal.  After treating the fever with acetaminophen, which of the following is the best next step in management of this patient?

• A)Brain imaging
• B)Electroencephalography
• C)Hospitalization for observation
• D)Levetiracetam
• E)Lumbar puncture
• F)Reassurance and discharge home
• G)Serum electrolyte panel

Describe experimental techniques in cloning and stem cell research, including the role of environmental factors in cell development.

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Definitions:

Impotence

A disorder in which a male cannot maintain an erect penis to complete sexual intercourse; also called erectile dysfunction.

Pap Smears

A procedure that collects cells from the cervix to test for cervical cancer, precancerous conditions, or other cervical abnormalities.

Cervical Cancer

A type of cancer arising from the cervix, often associated with human papillomavirus (HPV) infection, and can be detected through regular screenings.

Endometrial Cancer

A type of cancer that originates from the inner lining of the uterus, known as the endometrium.