A child aged 33 days is presented to the emergency department of a hospital by her parents following a 2-day fever. Her temperature is 38 °C (100.4 °F) tympanically. Which of the following diagnostic tests is most clearly indicated?
A)
Electrolytes, blood urea nitrogen (BUN), and creatinine levels
B)
Abdominal ultrasound
C)
Computed tomography (CT) of the head
D)
Urine for culture and sensitivity
Ans:
D
Feedback:
Infants with a fever are at risk of urinary tract infections, which would be diagnosed through a urine test for culture and sensitivity. Electrolytes, BUN and creatinine, CT head, and abdominal ultrasound are not as closely associated with differential diagnosis of the child's fever.
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