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.
Melanin is a pigment found in your skin and hair cells that gives each its color. ... When sun shines on your skin, it destroys the melanin as well. But since your skin is alive, it can respond to the sun's damage. Your skin cells make more melanin and your skin becomes darker
The answer is: [B]: "False" .
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We should get medical help right now. If: our nausea and vomiting are accompanied by discomfort or a severe headache, particularly if we have never experienced this kind of headache before, and asking someone to transport us to an urgent care facility or an emergency room.
When to go to consult?
Pain or a strong headache can accompany nausea and vomiting, especially if we've never experienced this kind of headache before.
We exhibit indicators of dehydration, such as extreme thirst, sore throat, infrequent urination, dark urine, lethargy, dizziness, or lightheadedness upon standing.
While we're waiting for our doctor's appointment, should be taken care of ourselves:
- Breathe easily. A lack of sleep and excessive exercise might exacerbate nausea and vomiting.
- Remain hydrated: Drink cold, clear, carbonated, or tart beverages in little sips.
- Avoid noxious smells.
Learn more about nausea and vomiting here:
brainly.com/question/4446138
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