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A 3-year-old boy presents to the emergency department. His parents report 3 days

ID: 267226 • Letter: A

Question

A 3-year-old boy presents to the emergency department. His parents report 3 days of fever, lethargy, and poor feeding intake. They report diarrhea and visible blood in his stool for the past day. During assessment by the RN, the patient is irritable and shows signs of moderate dehydration. The patient is admitted to the hospital and worked up for gastrointestinal illness.

Three days later, the patient is started on dialysis. Which of the following is a serious complication of the patient's infection, causing kidney damage and failure?

1.Urinary tract infection

2.Guillain-Barré syndrome

3.Hemolytic uremic syndrome

4.cirrhosis

Explanation / Answer

3.Hemolytic-uremic syndrome

Hemolytic-uremic syndrome disease is caused by a mutual functioning of hemolytic anemia , acute kidney failure or uremia and a low platelet count. It mostly affects children. Most of the cases of this disease are preceded by bloody, diarrhea which is acquired as a foodborne illness from a contaminated water supply caused by E. coli.

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