1-12mont hsoldchil

dpr esentedwi th [Link]

hist
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omi ti
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rrit
abil
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s
Whichv i
tami
nov er
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kelyto [Link]
mini
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eedi
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olume
causethesetoxi
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nicalfeatures:
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eti
bialedema✔

[Link]
tami
nA✔
4-A06mont
hchi
ldpr
esent
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th
[Link]
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[Link]
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A.04weeks
2-A25y earoldmotherdeli
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new.Hedevelopjuandiceon1stdayofl
ife. [Link]
om 2mont
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o6mont
hs✔
Juandi
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om 6mont
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hs
mostli
kel
ycauseofj uandi
ce:
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terbi
rt
h

[Link]
imeunderoney
ear
[Link]
s

[Link]
pot
hyr
oidi
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5-A03y earoldsal
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ibi
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ooking,
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siol
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zedl [Link]
di
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ion:

3-I
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icult
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oti
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i
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anti
s:
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ome

[Link]
cul
osi
s
[Link]
tes
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abet
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li
tus
6-Onedayol
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r
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rom hepati
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tedy
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her

anemi
ais:
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vei
mmunogl
obul
in

[Link]
vehepat
it
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acci
ne
A.B12def
ici
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[Link]
ver
out
ineEPlv
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icaci
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[Link]
vehepat
it
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acci
neand C.I
rondef
ici
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i
mmunogl
obul
ini
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atel
y✔ [Link]
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ici
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[Link]
vebr
eastmi
lk [Link]
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7-A07y earchi
ldpr esentedwit
hf ever 9-Commonestmi
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body [Link] nati
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childwithgeneral i
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[Link]
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C.l
odi
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ici
ency
[Link]
oodCP D.I
ronDef
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[Link]
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tur
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ncDef
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ency
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rowbi
opsy

[Link]
ipher
alsmear

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icul
ocy
tecount
10-A06y earoldgi
rlofmoder ate 12.A10mont
hol
duni
mmuni
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persi
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Themostef fect
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ion broughtinpediatr
icsemergencywith
foraboveconditi
onis: hist
oryofintenseboutsofcoughinghi
s
facebecomesr edwithprot
r usi
onofeyes
andpromi [Link]
l
ikelydiagnosisi
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a)I
nhal
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ti
cost
eroi
d✔

b)Mont
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a)Ast
hma
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alSt
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b)For
eignbodyi
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e)Sodi
um Chr
omogl
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monar
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s

e)Whoopi
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[Link]
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thacut
ely
mphobl
ast
ic

l
eukemi
acommonl
ypr
esent
swi
th:
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earol
dchi
ldpr
esent
edwi
th

hi
storyoff ever,
pal
lor
,v omiti
ngand
a)Bonepai
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b)Bl
eedi
ng i
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e
i
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.Signsofmeni ngit
isareabsent.
c)
Fev
er Faci
li
tiesofRDTand

d)Headache mi
croscopyar
enotav
ail
abl
[Link]
ugwhi
ch

e)Vomi
ti
ng shoul
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orer
eff
erali
s:

a)Ar
tesunat
e

b)Ar
ti
met
her

c)Ar
ti
met
her
andl
umef
ant
ri
ne

d)Chl
oroqui
ne✔

e)Qui
nine
14.A06weekol
dinf
antsi
gnwhi
chi
s 16.A05day
sol
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antbr
oughti
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or

consi
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assi
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ery rout
[Link]
nat
ionhewas
no
severediseaseorpossi
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bacteri
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drat
[Link]
gni
stocl
assi
fyasl
ocal

i
nfect
ioni
s: bact
eri
ali
nfect
ioni
nthi
sinf
anti
s:

a)Axi
ll
aryTempr
atur
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C✔ a)Bl
eedi
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rom Umbi
li
calst
ump

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ldchesti
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awi
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rom Umbi
li
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c)Pusdr
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rom umbi
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er

d)Respi
rat
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e d)Lowbodyt
emper
atur
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e)Someski
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aini
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rom Umbi
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15.A07dayol
dneonat
ewasadmi
tt
ed 17.A03y
earchi
ldbr
oughti
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th
wit
h
hi
stor
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or07day
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ainoff
everandpoorf
eedi
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heartrat
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Tempr ature101°fandpoorpri
miti
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refl
[Link] i
kel
ydiagnosisi
s:
a)Dr
inkeager
ly

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ti
s b)Dr
ymout
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a c)I
rr
it
abl
e

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Respi
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ome d)Rest
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icemi
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erysl
owl
y✔

e)
Transi
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achy
pneaofnewbor
n
[Link]
zur
edi
sor
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tr
asoundbr
ain

dur
ingchi
ldhood:

[Link]
iveagentf
or

a)Bact
eri
almeni
ngi
ti
s bact
eri
almeni
ngi
ti
sfr
om 02mont
hst
o02

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ebr
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ari
a y
ear
sis:

c)Epi
lepsy

d)Febr
il
econv
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aphy
lococcusaur
eus

e)
Sepsi
s b)Haemophi
lusi
nfl
uenza✔

c)St
rept
ococcuspneumoni
a

[Link]
rat
orydi
str
esssy
ndr
omei
smor
e d)Nei
sser
iameni
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ti
des

commonl
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[Link]
i

a)I
nfantofdi
abet
icmot
her [Link]
hin

b)I
nfantdel
iv
eredbyCesar
eanSect
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n:

c)I
nfantwi
thbi
rt
hasphy
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d)I
nfantwi
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emat
uri
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e)
Premat
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arr
hea

[Link]
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nfect
ion
&classifi
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ra-ventr
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hemor rhagei nnewbornis: e)Bi
rt
hasphy
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a)Bl
eedi
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ofi
le

b)Bl
oodCP

c)Lumberpunct
ure✔

d)Sept
icscr
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[Link]
dchi
ldpr
esentwi
th [Link]
choft
hef
oll
owi
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weight
[Link] eet
:
makey
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assi
fya5mont
hol
dchi
ldwi
th
10mm,
zeescor
e<3wi
th:
di
ff
icul
tbr
eat
hingassev
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aor

sev
eredi
sease:
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tismoder
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emal
nut
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on

b)I
tismar
asmus
a)Vomi
ti
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I
tissev
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on✔
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rr
it
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d)
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c)St
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dorwhencal
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e)i
tiswast
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d)Respi
rat
oryr
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eat
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minut
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[Link]
aist
hecompl
icat
ionofwhi
chof e)Rest
lessness

t
hef
oll
owi
ngdi
sease:

27.I
rondef
ici
encyi
nachi
ldwhohas

a)Py
ogeni
cmeni
ngi
ti
s unrepair
edcyanoti
ccongeni
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diseaseismostli
kelyt
oincr
easet heri
sk
b)Encephal
it
is for:
c)Cer
ebr
almal
ari
a✔

d)Tuber
cul
ousmeni
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s a)Congest
ivehear
tfai
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iccoma b)Di
goxi
ntoxi
cit
y

C)Tetspel
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[Link]<5mor
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it
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monar
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hage
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ari
a e)
Str
oke
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c)Di
arr
hea

d)Pneumoni
a✔

e)Hepat
it
is
28.A05y
ear
schi
ldpr
esent
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th 30.A05mont
hol
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omi
ti
ngand

gener
ali
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gur
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[Link]
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agnosedasacaseofnephr
oti
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drat
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syndr
[Link] Theoptionoft
reat
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compli
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ldmaydevel
op:
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/kgRi
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it
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nc
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[Link]
crocy
tichy
pochr
omi
canemi
ais
29.A03dayol
dneonat
epr
esentwi
th
devel
opi
ngcount
ri
esi
smostcommonl
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f
eedi
ngdi
ff
icul
[Link]
iv
eredathome. seendueto:

Ther
eisnohi
stor
yofanyant
enat
al

i
mmuni
zati
onduri
ngpregnancy
.Whati
s a)Copperdef
ici
ency
t
hemostl
i
kelydi
agnosi
s:
b)I
ronDef
ici
ency✔

c)Leadpoi
soni
ng
a)I
n-bor
ner
rorofmet
abol
ism
d)Si
der
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icanemi
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b)Neonat
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Thal
assemi
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c)Hy
poxi
cischemi
cencephal
opat
hy

d)Neonat
almeni
ngi
ti
s

e)Neonat
alt
etanus✔
32.A02y
ear
sol
dchi
ldpr
esent
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th 34.A23y
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dfemal
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hi
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[Link]
onbaby
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or05day
sfol
lowedbyonsetof hasswell
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ashandabr uptr
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kelycauseofswel
li
ngis:
fev
[Link] st
oryofsi
milari
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ofachildinfamil
[Link]
complicat
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lnessis: a)Di
azepam

b)Val
por
icaci
d

a)Cor
nealul
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ati
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toi
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it
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on

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ocar
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d)Pneumoni
a

e)Subacut
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it
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earol
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ldcamei
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j
uandice, anor
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nauseaandfeversi
nce
05day [Link]
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ood
33.A20mont
hol
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rlbr
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[Link]
ontemperature
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aintoff
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.On 38° C,
liverist
enderand3cm palpable
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[Link]
kely
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ionshehast
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arged di
agnosi sis:

ymphnodesi
[Link]
key
si
gnshoul
dbepresentt
oclassi
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a)Hepat
it
isA✔
st
rept
ococcalsor
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s:
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c)Hepat
it
isB
a)Bl
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d)Mal
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b)Gr
ayi
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phoi
d
c)Notabl
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ink

d)Redexudat
esont
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e)Whi
teexudat
esont
onsi
l✔
36.A02y
earol
dboyj
sbr
oughti
npedi
atr
ic 38.A10mont
hol
dgi
rli
sbr
oughti
nOPD

emer gencywi t
hasy mmet r
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arr
[Link]
bothlegsandi nabil
it
yt [Link]
exami nati
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acci
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ysi
[Link] exami
nat
ionshei
swast
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bestdi agnosti
ctestforconfi
rming dehy
drat
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herMUACi
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isis:
t
of i
nishRUTEThemostappr
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reatmentopt
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s:
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c
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mia
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[Link]
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Di
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ionhehas
pansyst
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cmur muronl ef
tster
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mor
phol
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kel
ydiagnosi
s:

a)Tr
isomy18 a)At
ri
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ect

b)Tur
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ect✔

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d)Tr
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e)
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fact
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def
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eri
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e)Vi
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it
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a)I
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b)Aci
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iveagentof

c)Pr
emat
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ocar
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isi
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ldr
eni
s:

d)Mat
ernaldi
abet
esmel
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e)Caesar
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b)Bact
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[Link]
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Fungal

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a)Lar
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44.12mont
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dchi
ldpr
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b)Lackofsubcut
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at
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it
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Mor
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at✔
Whi
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itami
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eli
kel
yto
e)Lessmuscul
aract
ivi
ty
causet
heset
oxi
ccl
ini
calf
eat
ures:

42.05y
ear
sol
dchi
ldadmi
tt
edwi
tht
wo
a)Vi
tami
nA✔
day
shi
stor
yofhi
ghgr
adef
evercomaand
b)Vi
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nB
pal
pabl
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[Link]
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eloped
c)Vi
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hy
pogl
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[Link]
dbedi
agnosi
s:
d)Vi
tami
nD

e)Vi
tami
nE
a)Meni
ngi
ti
s

b)Sev
eremal
ari
a✔
[Link]
rat
oryr
ateofnewbor
nbaby e)CRP

normalrange/
minaccor
dingt
oIMNCI
prot
ocolis;
[Link]
iralmeni
ngo-
encephal
it
isi
s:

a)40-
60

b)30-
59✔ a)Ar
borv
irus

c)30-
50 b)Ent
erov
irus✔

d)20-
40 )Her
pesv
irus

e)25-
60 d)Mumpsv
irus

e)Var
icel
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irus

[Link]
iconv
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esponsi
blei
nfet
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hepat
otoxi
cit
ysy
ndr
omei
s: 49.A04y
ear
sol
dchi
ldpr
esent
edwi
tha3

dayshistoryofcough,cor yzasympt oms

andconjunctiv
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[Link] hendev elopedhigh
a)Phenobar
bit
one gradefeverandr edMacul opapularrash
b)Val
por
icaci
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tohisf
aceandt henrestoft hebody .Which
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