A 6-Week-Old Boy Is Brought to the Office by His

question 637

Multiple Choice

A 6-week-old boy is brought to the office by his parents for evaluation of inconsolable crying.  The patient has cried almost continuously up to 4 hours every evening for the past 3 weeks.  Pacifiers do not seem to calm him, and he often refuses to feed during this time, making the parents feel overwhelmed and worried.  The patient is happy and alert during the rest of the day.  He was born full term via uncomplicated spontaneous vaginal delivery and is growing well.  He breastfeeds every 2-4 hours and has 2-3 soft stools daily.  Temperature is 37.3 C (99.1 F) .  The anterior fontanel is soft.  Otoscopic examination shows erythematous tympanic membranes that are compliant on insufflation bilaterally.  Heart and lung examination is unremarkable, and the abdomen is soft.  Which of the following is the most appropriate management of this patient?

• A)Order an abdominal ultrasound
• B)Prescribe a trial of an H₂ receptor blocker
• C)Prescribe an oral antibiotic
• D)Recommend lactose-free formula
• E)Review soothing techniques

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Definitions:

Units

A measure of quantity or amount in business, such as items produced, sold, or in inventory.

Production Budget

An estimate of the total units that need to be produced in a period to meet expected sales demands and inventory levels.

Ending Inventory

The value of goods available for sale at the end of an accounting period, calculated as beginning inventory plus purchases minus cost of goods sold.

Units Produced

denotes the total quantity of completed goods made during a specific period.