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Chapter: 3 / Q: 81
A 15-year-old boy presents to his GP with a 2 day history of vomiting, nausea and loss of appetite. On examination he is generally tender but more so over the right side of his abdomen. Blood tests reveal a low-grade pyrexia, high white cell count and raised C-reactive protein
Chapter: 3 / Q: 82
A 65-year-old woman is brought to hospital complaining of bright red blood in her stools. On examination she is tender in the left iliac fossa with a hard non-fluctuant mass palpable in the same region. Blood tests reveal a high white cell count, C-reactive protein of 135 and a temperature
Chapter: 3 / Q: 83
A 72-year-old man presents to accident and emergency with a history of weight loss, confusion and abdominal pain. He is from a nursing home where the nurses state that he has not opened his bowels for 2 days and has become increasingly unwell over the past few weeks. Blood results reveal
Chapter: 3 / Q: 84
A 45-year-old stockbroker presents to hospital complaining of severe abdominal pain. He states that he has not been eating for the past week due to pain and has felt nauseated and has vomited twice this morning. On examination his abdomen is tense with absent bowel sounds and is very tender
Chapter: 3 / Q: 85
A 57-year-old woman is brought to hospital by ambulance with abdominal pain. She has vomited green fluid this morning and has been very constipated since yesterday. Past medical history reveals high blood pressure and cholesterol treated with atenolol and simvastatin
Chapter: 3 / Q: 86
This child has a heart rate of 95–140/min, a respiratory rate of 25 breaths per minute, and a systolic BP of 90mmHg
Chapter: 3 / Q: 87
The child sits unaided
Chapter: 3 / Q: 88
First dose of diphtheria, tetanus, pertussis, polio, Haemophilus influenza B and meningitis C vaccination is administered in accordance with the normal vaccination schedule in the United Kingdom
Chapter: 3 / Q: 89
Persistent runny nose, mild fever, shortness of breath with asso- ciated dry cough and wheeze. On examination accessory muscles are being used and there are fine end inspiratory crackles on the chest
Chapter: 3 / Q: 90
Able to follow movements with eyes
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