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WELLCOME CLASSIFICATION MARASMUS KWASHIORKOR .

This is BCG vaccine: 1-Mention dose. Route & time of administration? 2-Mention two side effects? .

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DPT DPT This is DPT vaccine: 1-Mention dose. Route & time of administration? 2-Mention four side effects? .

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elects to follow the patient. . Initial laboratory tests ordered byHowever.CASE 1 A 10 year old Caucasian girl was brought by her parents to their family physician. However. based upon the usual course of this illness. two weeksphysicianstill decreased. A urinalysis showed hematuria with dysmorphic RBC's. The patient is referred to a nephrologist. the C3 is revealed elevated BUN and creatinine. two weeks later. the C3 is still decreased. History revealed that the child had a sore throat for about 10 days prior to the office visit. The nephrologist. an the family later.

Questions: What tests should be ordered? What diagnosis is suggested at this point? What is the differential diagnosis? What additional laboratory tests should be ordered? .

Laboratory studies: CBC shows Hgb 9.000. platelet count 74. MCV 95. A prephral BP shows : . For the past two days he has had a high fever.2.CASE 2 History: A 5 year old boy has been too tired to play with his friends for two months. a big bruise forms. Hct 28.8. whenever he falls or bumps into anything. His mother is also worried that.

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Questions: What type of white blood cells are present? What is the most likely diagnosis? What is the most likely outcome of this child's disease with standard therapy? What other test could be helpful in distinguishing the nature of the cells in this case? .

Good Luck .

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