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Pediatric Problem Solving – Case 16
A 7 year old boy was limping for 3 days presented to the surgical department with severe acute colicky abdominal pain. The surgery resident asked for medical consultation for a rash on the back of both lower limbs of the child.
The acute abdomen is due to :
A. Rheumatic fever
A 7 year old boy was limping for 3 days presented to the surgical department with severe acute colicky abdominal pain. The surgery resident asked for medical consultation for a rash on the back of both lower limbs of the child.
The acute abdomen is due to :
A. Rheumatic fever
B. Appendicitis
C. Henoch-schonlein purpura
D. Rheumatoid arthritis
Explanation of the case:
Choice (A): Points with: age + limping
Points against: rash, no other signs of the criteria of rheumatic fever, rheumatic fever will not cause the other associations as acute abdomen.
Choice (B):Points against: other findings(other than acute abdomen) are not related
Choice (C):the right answer :Points with: purpura on back of both lower limbs + acute abdomen + limping [This is a vasculitic syndrome]
Choice (D): Points against: other findings(other than limping) are not related
Points against: rash, no other signs of the criteria of rheumatic fever, rheumatic fever will not cause the other associations as acute abdomen.
Choice (B):Points against: other findings(other than acute abdomen) are not related
Choice (C):the right answer :Points with: purpura on back of both lower limbs + acute abdomen + limping [This is a vasculitic syndrome]
Choice (D): Points against: other findings(other than limping) are not related
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