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2 Cards in this Set
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A boy is brought for his regular well-child visit.
His birth Hx is unremarkable. PE is within normal limits. On inquiry, you find that the boy can kick a ball and is right-handed. Waht is his likely age? 1 year 30 months 3 years 2 years 15 months |
2 years
A 2 year old can display handedness, kick a ball, use two word sentences, follow two-step commands, and help with undressing A 1 year old can walk, help with dressing, spoon feed self, and use a sippy cup A 30 month old can climb stairs w/ alternating feet and undertake associative play A 3 year old can peddle a tricycle, undress themself, and uses pronouns appropriately |
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A 16 yo M is brought by his parents for evaluation.
He had a MVA last month, right after he got his driver's liscense. He did hit his head then, but felt fine so he never sought medical attention. However, this week he started to develop confusion, sleepiness, headache, and difficulty speaking. It has worsened progressively over the past 5 days. He is afebrile. On PE, mental status change is noted. There is no nuchal rigidity. Papilledema is appreciated, and there are asymmetric increased DTRs. What is the most appropriate next step in the diagnosis of this pt? Order a blood culture Order a lumbar puncture with CSF evaluation Order an MRI Order a head CT with contrast Order a head CT without contrast |
Order a head CT without contrast
The initial test in the diagnosis of any head trauma is a CT WITHOUT contrast |
