Does this patient require rehydration therapy

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Reference no: EM133990646

Assignment:

A 4-year-old girl is brought to the hospital emergency. The parents are very alarmed by her condition that has developed over the past one hour, when she started making bizarre faces.

The neck has become rigid and head has tilted to one side. The teeth are clinched and she is not speaking. The eyes are staring in one direction and there are intermittent purposeless movements of the upper limbs. The parents inform that she had vomited twice in the morning and was taken to a local doctor, who had given her an injection. The vomiting had stopped, but after about 2 hours of the injection she developed the above symptoms.

(a) What is the most likely cause of her symptoms? Could it be due to the injection given to her? If so, which drug could have caused it?

(b) How should this patient be treated?

A 35-year-old man has come with complaint of acute onset diarrhoea. The stools are relatively small volume, liquid but not watery, frothy and are preceded by griping pain in abdomen. Foul smelling wind, eructation and mild fever are the other complaints. He has passed 4 loose motions in the past 8 hours and there is no appetite. He admits to have eaten spicy snacks last evening at a road side stall. Physical examination reveals body temperature 101°F, no signs of dehydration, but diffuse abdominal tenderness. A tentative diagnosis of enteroinvasive diarrhoea is made.

(a) Does this patient require rehydration therapy?

(b) Should an antibiotic be prescribed? If so, which antibiotic would be appropriate?

(d) Should any other symptomatic drug be given to him?

Reference no: EM133990646

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