Infectious gastroenteritis (acute) (pediatrics) Quiz: Ace Your Exams
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A 6-year-old girl is brought to the emergency department with a 2-day history of bloody diarrhea, nonbilious vomiting, and right lower quadrant abdominal cramps. Caregivers report the child has eaten very little during this time. The child attended a school picnic 5 days ago (i.e. 3 days before the onset of symptoms), and other children developed similar symptoms. Temperature is 39°C (102.2°F), blood pressure is 108/70 mmHg, heart rate is 130 beats per minute, respiratory rate is 16 breaths per minute, and oxygen saturation is 100% on room air. On examination, mucous membranes are dry, and capillary refill is less than 2 seconds. Stool examination reveals fecal leukocytes. Which of the following organisms is most likely causing this patient’s diarrhea?
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