Aquifer Pediatrics exam 2023/2024 with 100% correct answers

Based on the information you have so far, choose the most likely diagnosis from the differential listed below. Choose the single best answer. The best option is indicated below. Your selections are indicated by the shaded boxes. A: Gastroenteritis B: GI obstruction C: Pyelonephritis D: Diabetic ketoacidosis (DKA) E: Increased intracranial pressure (ICP) F: Appendicitis - correct answer D; DKA Differential Diagnosis of Vomiting - correct answer Gastroenteritis GI obstruction Pyelonephritis DKA increased ICP Appendicitis Gastroenteritis - correct answer Gastroenteritis is the most common cause of vomiting; it may be viral or bacterial. It usually also presents with fever, colicky abdominal pain, and diarrhea. Dehydration is common in gastroenteritis. GI Obstruction - correct answer Vomiting, sometimes bilious, is commonly seen in GI obstruction. Almost all patients with obstruction will be dehydrated; the degree of dehydration depends on degree of vomiting. Abdominal pain is a prominent feature of GI obstruction. Altered mental status is unlikely unless dehydration is severe.