Pediatric Gastrointestinal Disorders Review Questions: Free CME QuizFree Pediatric Gastrointestinal Disorders Board Review Questions & CME Quiz courtesy of Med-Challenger Online Medical Education
This week's Med-Challenger's free CME quiz reviews pediatric gastrointestinal disorders including neonatal jaundice, pyloric stenosis, bilious emesis, acute appendicitis, sickle cell disease and more.
The free sample CME question included below. The full CME quiz is free online for a limited time. You can earn CME credit too!
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Here's this week's sample Pediatric Gastrointestinal Disorders CME board review question...
An 8-year-old boy with sickle cell disease is brought in by his parents for evaluation of right upper quadrant pain. They report he was well until 12 hours ago, when he complained of malaise and constant, burning pain in his right upper quadrant and epigastrium. He complains of nausea, and he has had several episodes of nonbilious, non-bloody emesis. He denies diarrhea. He has had no recent sick contacts.
On examination, he is ill-appearing and jaundiced.
Vital signs are: temperature 38.3°C (101.0 °F), heart rate 130 beats/minute, blood pressure 95/55 mm Hg, respiratory rate 20 breaths/minute, and oxygen saturation 96% on room air.
He has scleral icterus. His abdomen is tender to palpation in the right upper quadrant, without rebound or guarding, but with marked hepatomegaly, which his family says is new.
Right upper quadrant ultrasonography confirms hepatomegaly, and reveals cholelithiasis, but no gallbladder distension, wall thickening, or pericholecystic fluid.
Laboratory studies are notable for a hemoglobin level of 5.4 g/dL with 10% reticulocytes, normal creatinine, normal coagulation factors, normal transaminases, and a total bilirubin of 7 mg/dL.
Which of the following is the most likely diagnosis?
See the Answer:
About the Med-Challenger Quick Quiz:
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