irritable 4-year-old son

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الوصف الكامل Background: 

A mother brought her 4-year-old son to the pediatrician. She said that the personnel at the daycare center had complained that the child was irritable, hyperactive and inattentative to learning activities. The mother had also observed restlessness, disturbed sleep, and some loss of appetite.

The medical record indicated the child's birth and development were normal; there was no history of unusual disease and the present physical examination presented no obvious abnormalities. In talking with the child, perianal itching and resultant scratching were admitted.

What is the Dx?
what is the treatment?

الشكوى الرئيسية CC: 

القصة المرضية HPI: 

الأجهزة الأخرى ROS: 

السوابق المرضية الشخصية PMH: 

السوابق المرضية العائلية FMH: 

الوضع الصحي والاجتماعي SH: 

الفحص السريري Clinical Exam: 

التشخيص التفريقي DD: 

الاستقصاءات Investigations: 

التدبير Managment: 

كتابة حرة وطرح موضوع النقاش!: 



متلازمة فرط النشاط وقلة الانتباه ADHD

صورة qusei


اقتباس:
perianal itching and resultant scratching were admitted

I think that this is the clue for the case Rolling Eyes ..

صورة SAMO


Right SAMO,that was the clue....

صورة mbs2380


ممممممم....
هلأ أنا معلوماتي الطفيلية ضحلة جداً...
بعتقد أنه حرقص ....

صورة Fouad


Right Fouad....

Dx: Enterobiasis (Pinworm infection) ....
The mother was asked to apply the Scotch tape diagnostic procedure to the child early the next morning and bring the slide to the office to examine the eggs of enterobius vermicularis which deposited on the tape....

now what is the treatment and its dose??

the treatment is mebendazole or Pyrantel pamoate ,and we have to regive the dose again after 21 days

صورة mbs2380


thanx Bassam.... u give me good info. to remember....keep going

صورة Fouad


رائع بسام ..
الكثير من الهمة
الكثير من النشاط

صورة Buzz_LightYear


Embarrased
مشكور بسام

صورة qusei