We can’t do that we just can answer questions you ask because they are millions of test…
Answer:
1-The patient's heartburn symptoms could be referring to gastritis or a gastric ulcer.
2-The symptoms of heartburn can be due to food poisoning, or due to the advancement of a stomach disease, or even from taking low-quality non-prescription antacids. The reasons can be many, including a possible celiac disease, for that specific studies are required to certify the diagnosis.
3) No
4-Immediate treatment would be a diet low in fat, easily digested, where the flours will be restricted to be able to corroborate if it is an autoimmune disorder like dairy products, since alterations due to lactose intolerance are not ruled out.
In addition to that, the patient would be restricted from taking antibiotics to be able to maintain the intestinal flora or aggravate the condition to ulcerative colitis, and finally, a quality antacid under prescription would be indicated and the denial of the consumption of anti-inflammatories, since these collaborate with inflammation or ulceration of gastric tissue.
Explanation:
Gastritis or gastric ulcerative lesions must be respected with balanced diets, anti-inflammatories should not be administered orally as they worsen the picture, I also do not include those antibiotics that put the normal flora of the person at risk, and finally the reasonable and conscious use of antacids.
I believe that it would be 121.0
Based on the symptoms,
Differential diagnoses for the boy includes:
- Rocky Mountain Spotted Fever (RMSF) owing to his recent visit to Florida
- Meningitis
Course of treatment:
- The patient needs to be admitted
- Diagnostic tests including CBC, cultures of both blood and CSF to rule out meningitis should be done
Explanation:
Initial line of treatment with loading dose of doxycycline at 2.2 mg/kg and ceftriaxone at 100 mg/kg/day can be started.
RMSF is a contagious disease caused by ticks and is predominant in the southeastern regions of the United States like North Carolina. So the boy could have got the disease from his visit to N. Carolina. Doxycycline is a broad spectrum antibiotic is the most preferred treatment of choice for RMSF
Meningitis is a bacterial disease affecting the brain. Ceftriaxone is the treatment of choice for empirical treatment of meningitis.
Since the boy’s symptoms like fever, headache, petechial rashes etc are symptomatic of both RMSF and meningitis, both the antibiotics should be administered initially.
Then depending upon the culture results, other specific antibiotics and treatments can be started.