NBME 1 Peads

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doc0610

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In the morning, a 30 month old girl has abdominal pain, two loose stools and a temperature of 101F. She has fever that is persistent throughout the day. and has 2 more loose stools. She also has a generalized tonic clonic seizure. No nuchal rigidity, and slightly decreased skin turgor. What is the diagnosis?

a) HUS
b) HSP
c) idiopathix sezuire disorder
d) shigellosis
e) toxicmegacolon

Please explain your answer! Also, can anyone explain Atelectasis finding on a chest X-ray? I never get how to identify this on the test other than it is post op most of the times.

Appreciate it. Thank you!
 
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