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1028 Pediatrics

A 6-month-old child was at the 50th percentile at birth for length, weight, and head circumference. His growth curve from his last visit 1 week ago is shown. On his developmental assessment, you noted that he rolled from stomach to back occasionally but not very well from back to stomach. He could bear weight on his legs but would not sit without assistance. Today, the family calls you urgently at 7:00 AM noting that their child seems unable to move the right side of his body. Which of the following conditions might explain this child’s condition?

APhenylketonuria
BHomocystinuria
CCystathioninuria
DMaple syrup urine disease
Pediatrics
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1029 Pediatrics

5 year old child comes to hospital with history of loose stools but no history of fever or blood in stools. Mother says he is irritable and drinks water if given. On examination eyes sunken and on skin pinch test the skin is retracted within two seconds but not immediately. What will be the appropriate management?

AAdminister first due of i.v antibiotic and immediately refer to higher centre
BGive oral antibiotics and ORS and ask the mother to continue the same and visit next day
CConsider severe dehydration, start i.v fluids, antibiotics and refer to higher centre
DORS with zinc for 14 days
Pediatrics
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