In your own words, in a brief paragraph, please discuss your…

In your own words, in a brief paragraph, please discuss your current status as a writer. Are you someone who enjoys writing? Do you feel like you write well? Is English your second language? What parts of writing give you the most trouble/least trouble? What do you most look forward to this semester? What do you least look forward to this semester? Elaborate on these sorts of questions (and feel free to add other commentary about writing) here.

A 9 year old boy presents with nausea, vomiting, abdominal p…

A 9 year old boy presents with nausea, vomiting, abdominal pain, and weight loss. On examination he has deep, laboured breathing and depressed level of consciousness. His serum glucose is 18.4 mmol/L and has high anion gap metabolic acidosis. What intervention will lead to the resolution of ketosis in this patient? 

 A baby weighing 3.5 kg is brought to neonatal ICU following…

 A baby weighing 3.5 kg is brought to neonatal ICU following a Cesarean section delivery at 35 weeks gestation. The baby is groaning, has a respiratory rate of  68b/m, nasal flarring, subcostal recessions and decreased air entry bilaterally. What maternal risk factor is likely to be associated with this presentation?

A term baby is delivered via C-section for foetal distress a…

A term baby is delivered via C-section for foetal distress and meconium stained liquor grade two. On examination post-delivery the child has increased antero-posterior diameter of the thorax, Oxygen saturation of 96% at room air and a respiratory rate of 84/min and a temperature of 350C. The Child is kept under a radiant warmer and the temperature improves to 36.80C with respiratory rate of 72/min after one hour. Twelve hours later the child’s respiratory rate is 64/min. What is the most likely cause of respiratory distress in this patient?

 A known nephrotic syndrome patient is admitted to the paedi…

 A known nephrotic syndrome patient is admitted to the paediatric ward with abdominal pain and fever. On examination he has oedema, a temperature of 38 degrees Celsius and tachycardia. On abdominal palpation it is tender. He has a raised C reactive protein. What is the most likely cause of these symptoms?