WBR1003
| Author | [[PageAuthor::Vidit Bhargava, M.B.B.S [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Internal medicine |
| Sub Category | SubCategory::Dermatology |
| Prompt | [[Prompt::A 20 yr old male came to ED 2 days back with epistaxis, while playing basketball. It was managed by Posterior Nasal packing. He was discharged home with some analgesics and instructions to visit the ED the following day, however he missed the appointment. Today he presents with following vitals:
Tempertaure 103 F Pulse 120/min Blood pressure 78/60 mmHg Respiratory rate 24/min Labs were ordered, nasal pack was removed and he was diagnosed with Toxic shock syndrome. Which of the following features is not consistent with the diagnosis:]] |
| Answer A | [[AnswerA::Temperature > 102 F, Systolic blood pressure < 90 mm Hg]] |
| Answer A Explanation | [[AnswerAExp::These are consistent with features suggestive of TSS.]] |
| Answer B | AnswerB::Desquamative rash |
| Answer B Explanation | AnswerBExp::Consistent with features suggestive of TSS. |
| Answer C | AnswerC::Increased platelet count |
| Answer C Explanation | AnswerCExp::In TSS, platelet counts are decreased rather than being increased. |
| Answer D | AnswerD::Involvement of the mucous membranes of the eye, mouth and genitals |
| Answer D Explanation | AnswerDExp::Consistent with features suggestive of TSS. |
| Answer E | [[AnswerE::Raised creatinine, CPK, and liver function tests]] |
| Answer E Explanation | AnswerEExp::Consistent with features suggestive of TSS. |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::Toxic shock syndrome is caused by staphylococcus attached to a foreign body, such as nasal packing or surgical sutures retained anywhere in the body. The features characteristic of this syndrome are:
Educational Objective: |
| Approved | Approved::No |
| Keyword | WBRKeyword::TSS |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |