USMLE Forum Archives - USMLE Step 2 CK - Neurology - child who doesnt seem right
Neurology - child who doesnt seem right
InSitu - 07-07-09 02:08 Bookmark and Share

A 3-month old female is brought to the pediatric emergency room by her mother, who says the baby, "just doesn't seem right." On exam, you see a tired-appearing baby lying in her mother's arms who cries weakly when you begin to examine her. You note that her mucous membranes are moist, her anterior fontanelle is bulging, and she is tachycardic to 160. She also has a rash in the distribution of her diaper. What is the most important test for you to obtain at this point?






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#1
Re: Neurology - child who doesnt seem ri
bingousmle - 07-07-09 06:54

My answer is: c.

#2
Re: Neurology - child who doesnt seem ri
drbasim - 07-07-09 12:41

My answer is: c.

#3
Re: Neurology - child who doesnt seem ri
omojesu - 07-08-09 02:13

My answer is: c.

#4
Re: Neurology - child who doesnt seem ri
zfashan - 07-08-09 02:15

My answer is: c.

#5
Re: Neurology - child who doesnt seem ri
crazyserb - 07-08-09 12:40

My answer is: c.

#6
Re: Neurology - child who doesnt seem ri
conym5 - 07-09-09 09:29

My answer is: d.

#7
Re: Neurology - child who doesnt seem ri
socrate - 07-10-09 13:46

My answer is: c.

#8
Re: Neurology - child who doesnt seem ri
timacole - 07-10-09 23:19

My answer is: e.

#9
Re: Neurology - child who doesnt seem ri
hameedkhatti - 07-12-09 10:49

My answer is: d.

#10
Re: Neurology - child who doesnt seem ri
adipocito - 07-19-09 07:26

My answer is: c.

#11
Re: Neurology - child who doesnt seem ri
84ahsan - 07-19-09 10:18

My answer is: e.

#12
Re: Neurology - child who doesnt seem ri
ragdoc - 07-24-09 06:03

My answer is: c.

#13
Re: Neurology - child who doesnt seem ri
usmlefever3 - 07-24-09 08:33

My answer is: c.


meningococcal meningitis with increased ICP (bulge fontanelle ) and tachycardia (can be due to fever )

#14
Re: Neurology - child who doesnt seem ri
drfuture - 07-24-09 10:56

My answer is: c.


bulging ant fontanell

#15
Re: Neurology - child who doesnt seem ri
swapna - 07-24-09 12:27

My answer is: c.

#16
Re: Neurology - child who doesnt seem ri
bahaeldin77 - 07-25-09 05:09

My answer is: c.

#17
Re: Neurology - child who doesnt seem ri
graviton - 07-29-09 13:46

My answer is: c.

#18
Re: Neurology - child who doesnt seem ri
kauser - 07-29-09 13:51

My answer is: a.

#19
Re: Neurology - child who doesnt seem ri
memomeno - 08-02-09 13:07

My answer is: b.

#20
Re: Neurology - child who doesnt seem ri
hardas13 - 08-03-09 11:32

My answer is: d.

#21
Re: Neurology - child who doesnt seem ri
lugupa2005 - 08-06-09 00:13

My answer is: c.

#22
Re: Neurology - child who doesnt seem ri
minamadi - 08-06-09 00:24

My answer is: c.


If they don't mention the fever do we have to assume it is there or does that mean it is NOT there? Does that make the baby afebrile?

#23
Re: Neurology - child who doesnt seem ri
ppillai - 08-07-09 14:44

My answer is: c.

#24
Re: Neurology - child who doesnt seem ri
wahwah - 08-09-09 06:33

My answer is: c.

#25
Re: Neurology - child who doesnt seem ri
yassine - 08-09-09 07:13

My answer is: a.

#26
Re: Neurology - child who doesnt seem ri
wilma - 08-11-09 17:06

My answer is: b.

#27
Re: Neurology - child who doesnt seem ri
gurmeetsand - 08-13-09 08:34

My answer is: a.

#28
Re: Neurology - child who doesnt seem ri
soyyodotcom - 08-13-09 12:27

My answer is: d.

#29
Re: Neurology - child who doesnt seem ri
doczuzu - 08-14-09 17:57

My answer is: c.

#30
Re: Neurology - child who doesnt seem ri
drusmleworld - 08-19-09 07:36

My answer is: a.

#31
Re: Neurology - child who doesnt seem ri
docraj - 08-22-09 17:32

My answer is: d.

#32
Re: Neurology - child who doesnt seem ri
surendra - 08-23-09 03:38

My answer is: c.

#33
Re: Neurology - child who doesnt seem ri
rasay1983 - 08-26-09 13:50

My answer is: d.

#34
Re: Neurology - child who doesnt seem ri
qingjie87 - 08-26-09 14:20

My answer is: c.

#35
Re: Neurology - child who doesnt seem ri
grantyh - 08-27-09 11:06

My answer is: c.

#36
Re: Neurology - child who doesnt seem ri
pvaswani21 - 08-29-09 11:11

My answer is: c.

#37
Re: Neurology - child who doesnt seem ri
mtniharika - 09-09-09 16:12

My answer is: d.

#38
Re: Neurology - child who doesnt seem ri
alein2009 - 09-10-09 06:40

My answer is: c.

#39
Re: Neurology - child who doesnt seem ri
mangesh - 09-10-09 12:12

My answer is: a.

#40
Re: Neurology - child who doesnt seem ri
tvaqar - 09-14-09 17:54

My answer is: c.

#41
Re: Neurology - child who doesnt seem ri
obafemi - 09-20-09 17:39

My answer is: b.

#42
Re: Neurology - child who doesnt seem ri
afinaish - 09-21-09 05:34

My answer is: b.

#43
Re: Neurology - child who doesnt seem ri
reksarma - 09-23-09 09:15

My answer is: c.

#44
Re: Neurology - child who doesnt seem ri
amaniagz - 10-02-09 07:31

My answer is: c.

#45
Re: Neurology - child who doesnt seem ri
fahadwaseem - 10-02-09 08:52

My answer is: c.

#46
Re: Neurology - child who doesnt seem ri
ysemak - 10-23-09 10:02

My answer is: c.

#47
Re: Neurology - child who doesnt seem ri
zoah2005 - 10-23-09 12:34

My answer is: c.

#48
Re: Neurology - child who doesnt seem ri
drayazmomin - 10-23-09 15:44

My answer is: c.

#49
Re: Neurology - child who doesnt seem ri
ramarao - 10-26-09 19:46

My answer is: c.

#50
Re: Neurology - child who doesnt seem ri
alaamn - 10-29-09 18:49

My answer is: c.

#51
Re: Neurology - child who doesnt seem ri
dnaderadam - 10-30-09 09:54

My answer is: c.

#52
Re: Neurology - child who doesnt seem ri
hanan2009el - 11-01-09 01:33

My answer is: c.

#53
Re: Neurology - child who doesnt seem ri
vernette - 11-06-09 14:50

My answer is: b.

#54
Re: Neurology - child who doesnt seem ri
dadukids - 12-07-09 04:25

My answer is: b.

#55
Re: Neurology - child who doesnt seem ri
tianjin - 12-07-09 04:47

My answer is: a.

#56
Re: Neurology - child who doesnt seem ri
virenbjmc - 12-07-09 10:27

My answer is: a.

#57
Re: Neurology - child who doesnt seem ri
jordanrobin - 12-07-09 11:24

My answer is: b.

#58
Re: Neurology - child who doesnt seem ri
noonysafi - 12-08-09 08:04

My answer is: c.

#59
Re: Neurology - child who doesnt seem ri
medusmle01 - 12-18-09 04:08

My answer is: c.

#60
Re: Neurology - child who doesnt seem ri
masroor - 12-20-09 12:49

My answer is: c.

#61
Re: Neurology - child who doesnt seem ri
demolition - 12-21-09 10:28

My answer is: a.

#62
Re: Neurology - child who doesnt seem ri
oldman - 01-11-10 07:57

My answer is: c.

#63
Re: Neurology - child who doesnt seem ri
tahiraraees - 02-08-10 14:45

My answer is: c.

#64
Re: Neurology - child who doesnt seem ri
addityea - 02-08-10 22:22

My answer is: c.

#65
Re: Neurology - child who doesnt seem ri
drumesh - 02-11-10 09:01

My answer is: c.

#66
Re: Neurology - child who doesnt seem ri
shahra - 02-12-10 03:59

My answer is: a.

#67
Re: Neurology - child who doesnt seem ri
preethy21 - 03-21-10 03:34

My answer is: a.

#68
Re: Neurology - child who doesnt seem ri
pawan238 - 03-21-10 03:52

My answer is: b.

#69
Re: Neurology - child who doesnt seem ri
ammulufy - 03-21-10 19:05

My answer is: c.


Anterior fontanelle bulging is more sigfig finding than rash in the distribution of diaper whch otherwise is normal......hence csf analysis is the immediate intervention to be taken.

#70
Re: Neurology - child who doesnt seem ri
enas3110 - 03-25-10 17:36

My answer is: b.

#71
Re: Neurology - child who doesnt seem ri
therockbigfight - 04-28-10 12:32

My answer is: c.

#72
Re: Neurology - child who doesnt seem ri
thimar98 - 04-28-10 17:29

My answer is: a.

#73
Re: Neurology - child who doesnt seem ri
babbu5508 - 05-23-10 03:14

My answer is: c.


A tense or bulging fontanelle occurs when fluid builds up in the skull cavity or when pressure increases in the brain (increased intracranial pressure).

#74
Re: Neurology - child who doesnt seem ri
samyou - 05-25-10 13:02

My answer is: c.

#75
Re: Neurology - child who doesnt seem ri
residencyrace - 05-29-10 14:32

My answer is: b.

#76
Re: Neurology - child who doesnt seem ri
zubiashoaib - 08-09-10 22:43

My answer is: c.

#77
Re: Neurology - child who doesnt seem ri
maverickmedico - 08-10-10 04:12

My answer is: c.

#78
Re: Neurology - child who doesnt seem ri
medical1212 - 08-19-10 10:08

My answer is: c.

#79
Re: Neurology - child who doesnt seem ri
berdugo75 - 08-19-10 11:50

My answer is: c.


c.

#80
Re: Neurology - child who doesnt seem ri
dreves - 08-23-10 04:39

My answer is: c.

#81
Re: Neurology - child who doesnt seem ri
robin4u - 10-01-10 13:29

My answer is: b.

#82
Re: Neurology - child who doesnt seem ri
shumaila - 10-01-10 16:54

My answer is: b.

#83
Re: Neurology - child who doesnt seem ri
paperp - 10-14-10 23:36

My answer is: c.

#84
Re: Neurology - child who doesnt seem ri
eman1993 - 10-16-10 03:26

My answer is: a.

#85
Re: Neurology - child who doesnt seem ri
suncica - 10-16-10 15:23

My answer is: b.

#86
Re: Neurology - child who doesnt seem ri
sudha2015 - 12-30-10 19:51

My answer is: c.

#87
Re: Neurology - child who doesnt seem ri
rescue2011 - 03-17-11 20:22

My answer is: b.

#88
Re: Neurology - child who doesnt seem ri
doctors202 - 03-18-11 01:47

My answer is: c.

#89
Re: Neurology - child who doesnt seem ri
babbu5508 - 03-18-11 17:59

My answer is: c.

#90
Re: Neurology - child who doesnt seem ri
drspleen - 03-19-11 03:50

My answer is: d.

#91
Re: Neurology - child who doesnt seem ri
hassan123 - 03-23-11 04:45

My answer is: c.

#92
Re: Neurology - child who doesnt seem ri
babbu5508 - 03-23-11 14:21

My answer is: c.

#93
Re: Neurology - child who doesnt seem ri
chowdhury84 - 12-27-11 12:01

My answer is: a.

#94
Re: Neurology - child who doesnt seem ri
shaiza - 03-31-12 22:01

My answer is: c.

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