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Irritable 4-Year-Old Son


Irritable 4-Year-Old Son


حالة سريرية

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?

mbs2380's picture
by
بعد التخرج


متلازمة فرط النشاط وقلة الانتباه ADHD

qusei

Quote:
perianal itching and resultant scratching were admitted

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

SAMO's picture
SAMO
السنة الخامسة

Right SAMO,that was the clue....
mbs2380's picture
mbs2380
بعد التخرج


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

Fouad's picture
Fouad
بعد التخرج

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

mbs2380's picture
mbs2380
بعد التخرج

thanx Bassam.... u give me good info. to remember....keep going
Fouad's picture
Fouad
بعد التخرج


رائع بسام ..
الكثير من الهمة
الكثير من النشاط

Buzz_LightYear


Embarrased
مشكور بسام

qusei
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