DUKE staging : colon cancer

DUKE criteria : Infective endocarditis

DUKE score : severity of chronic stable angina

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Differential Diagnosis
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عليييبك بهذا الكتاب.

#طالب_ضابح ??

An 8-year-old boy is brought to the emergency department because of a high fever, progressive shortness of breath, and a cough productive of moderate amounts of yellow sputum for the past 2 days.

He had meconium ileus as a newborn and was subsequently diagnosed with cystic fibrosis during routine neonatal screening. Since then, he has had recurrent respiratory infections that have required hospitalization.

Current medications include albuterol, pancreatic enzymes, and vitamin A and vitamin D3 supplements. His immunizations are up-to-date.

His temperature is 39.6°C (103.3°F), pulse is 122/min, respirations are 44/min, and blood pressure is 115/75 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 91%. Examination shows labored breathing and subcostal retractions.

There is dullness to percussion of the right upper lung; breath sounds are decreased.
An x-ray of the chest shows consolidation in the right upper lobe of the lung; there is increased translucency and tram-track opacities in the upper lung fields.

Which of the following pathogens is the most likely cause of this patient's current symptoms?

A) Influenza A virus

B) Burkholderia cepacia complex

C) Streptococcus pneumoniae

D) Aspergillus fumigatus

E) Streptococcus agalactiae

F) Staphylococcus aureus

G) Haemophilus influenzae

E) Pseudomonas aeruginosa

#MCQ_EVERY_DAY ?