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Pero no es un voto _____ e inamovible.

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A 3-year-old boy presents in severe respiratory distress. His mother informs you that he has been ill for the last 5 days, initially with a low-grade fever and “barky cough.” He was seen at an urgent care facility 4 days ago and given a “breathing treatment” and discharged on steroids. He has become progressively worse despite compliance with the steroid regimen, which prompted his mother to call an ambulance this morning. He is otherwise healthy and up-to-date on his immunizations. On examination, the child is toxic in appearance and febrile. His oropharynx is clear. You hear both inspiratory and expiratory stridor. What is the most likely diagnosis?ABacterial tracheitisBCroupCEpiglottitisDPeritonsillar abscess30-month-old boy presents with respiratory distress. He was diagnosed with croup 1 week ago and received a single dose of dexamethasone. His cough had nearly resolved until yesterday, when coughing worsened, and he developed nasal congestion. This evening, he developed inspiratory stridor, increased work of breathing, and a fever of 103°F (39.4°C). What is the most likely diagnosis?
The organism usually enters the body from infected soil through a break in the skin of the feet. It then is carried to the lungs, travels to the mouth, and is swallowed. Once in the gastrointestinal (GI) tract, it attaches to the wall and induces bleeding, leading to an iron deficiency anemia. Associated GI symptoms are uncommon. Additional symptoms include swelling and intense itching at the site in which the larva penetrates the skin. Which of the following organisms best fits this clinical picture?HookwormsPinwormsStrongyloidesWhipworms

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