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( ׯ&,á (+(צ.TEXT888Ä8 "ˡ$צ Can't find ::9 ƀצ:9 ƀ:SYSTEM.SWAPDISK&Ʋڤ  R   88( áצ Assemblingצ Compiling...á999':::::&:(áצAssembleצCompilec(s) not available 1 \ @ ڤ  áڤ !~ e ת*U  !! !:!!ڤ  ڤ  áܡ #צMust L(ink firstƁ1ƀ:צ.Conflict between intrinsic and user segment(s)ƀצ*SYSTEM.LIBRARY ,צ Can't load required intrinsic(s)Nƀ/צ#Required intrinsi"ˡCۡ>"áIllegal file nameצNo file ́3́4ʁ4́5ʁ5ˡ  not codeʁ41ʁ5"ˡ Bad block #01Ɓ1aݡ9צ Linking...ݢ`ڤá Zxȡ2ݤˡ"ޢ`ݤۼ: TڪƁ Ɓ "á9̂.ʁ ʁ"ˡ  Ɓ Ɓ Vj ުPڶڳ@@YyÍ, 4ۢڤ ɡ$ڪP-19:!1ׯ)Illegal filenamenTޢ ȡSڤ ˡ@۳-ܢ0ۤ צCurrent date is C -C-C 99ȡצ"(C) Apple Computer Inc. 1979, 1980צ(C) U.C. Regents 1979%System re-initializedSȡU/U[,-Z N:98:9á.Y(Y*SYSTEM.ATTACH   áá'*SYSTEM.STARTUP % áá  6   ˡFצJCommand: E(dit, R(un, F(ile, C(omp, L(ink, X(ecute, A(ssem, D(ebug,? 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( ׯ,á(+( "ˡ$ Can't find ::9 ƀ:ײ9 ƀ:צSYSTEM.SWAPDISK&:(7,צ*SYSTEM.WRK.CODE[*]To what cod "PROCEDURE SETCHAIN(TYTLE:STRING); "PROCEDURE SETCVAL(VAL:STRING); "PROCEDURE GETCVAL(VAR VAL:STRING); "PROCEDURE SWAPON; "PROCEDURE SWAPOFF; "  IMPLEMENTATION E :::&:(xáצAssembleצCompile what t$ $ ݞ$' ݑ$ $݂ō $݂ġ ݂$ $ $ȡ%  0 ފ$čV   .ˡ:  Eɡ  -ݑ š 0 0 ߿`ġ(   ݂. ݕ ؂݂3  ݕ 0 . ݑ0 ݕ݂ ؂ ɡ  |, R -   $ $ ݞ$' ݑ$ $݂ō $݂ġ ݂$ $ $ȡ%  0 ފ$čV   .ˡ:  E.áBڲzؼ0ݞ$ڲzjeEÍɍEáޢ >ۓɡ ؼ݀$ ؼݞ$ۡܡ ؼ$ Dɍ -   "ˡ\ݣ ݣ šݢ ݣ ݢݣݣ ݣ ݣݣńݢݣݢݢݢˡݢݢ ۚݢܚ  / |á +-Í-ڲzؼ 0ݢݣޢÄɡ3ڕġ$ڕšš"šޣ Ąޣ ݣ ˡRݣ &ݢ ݢݢ!ݣ "ˡݣ ˄ݢ!ۂBEGIN RECNUM := RECNUM-1; .BYTE := BYTE+FRECSIZE; .WHILE BYTE > FBLKSIZE DO ' "PROCEDURE FSEEK(VAR F: FIB; RECNUM: INTEGER); PROCEDURE FREADREAL(VAR F: FIB; VAR X: REAL); "PROCEDURE FWRITEREAL(VAR F: FIB; X: REAL; W, D: INTEGER); IZE < FBLKSIZE THEN ,BEGIN N := FBLKSIZE DIV FRECSIZE; .WHILE RECNUM-N >= 0 DO 0BEGIN RECNUM := RECNUM-N; 2BYTE := BYTE+N*FRECSIZE; 2WHILE BYTE > FBLKSIZE DO 4BEGIN BLOCK := BLOCK+1; 6BYTE := BYTE-FBLKSIZE 4END 0END ,END; *WHILE RECNUM > 0 DO ,LOCK,N: INTEGER; "BEGIN SYSCOM^.IORSLT := INOERROR; $IF F.FISOPEN THEN &WITH F,FHEADER DO (BEGIN BLOCK := 0; BYTE := FBLKSIZE; *IF (RECNUM < 0) OR NOT FSOFTBUF OR 2((DFKIND = TEXTFILE) AND (FRECSIZE = 1)) THEN ,GOTO 1; (*NO SEEK ALLOWED*) *IF FRECS ' "PROCEDURE FSEEK(VAR F: FIB; RECNUM: INTEGER); PROCEDURE FREADREAL(VAR F: FIB; VAR X: REAL); "PROCEDURE FWRITEREAL(VAR F: FIB; X: REAL; W, D: INTEGER);   IMPLEMENTATION $ "PROCEDURE FSEEK(*VAR F: FIB; RECNUM: INTEGER*); $LABEL 1; $VAR BYTE,B BGBCopyright 1983 Mark Gueninext? ( ׯ,á(+( "ˡ$ Can't find ::9 ƀ:ײ9 ƀ:צSYSTEM.SWAPDISK&:(7,צ*SYSTEM.WRK.CODE[*]To what cod !PROCEDURE POKE(ADDRESS,VALUE:INTEGER); !FUNCTION PEEK(ADDRESS:INTEGER):INTEGER; !FUNCTION CURSY:INTEGER; !FUNCTION CURSX:INTEGER; !FUNCTION NORMAL:CHAR; !FUNCTION INVERSE:CHAR; !FUNCTION FLASH:CHAR; ! !IMPLEMENTATION E 6 r )   " STUDENTPGREET SETUP MAINPARTQUERIES GETDX QUIT isketteצ drive door is closed. á ت צPut the disk named "" into drive # צ. Remember, only handleצ% diskettes by the label at the top.   " ˡצ Please make sure the diskette isצ$ inserted properly and the disketteצ drive door is closed. á ت צPut the disk named "" into drive # צ. Remember, only handlצMust be between  צ and  # # np#<  " ˡצ Please make sure the diskette isצ$ inserted properly and the dYou must enter a digit.#  - ߄z ᛾9 ᛾0Ą ᛾0  S$Only digits, please.# ߡޡ Ȅ q$ # & ("  áݡY$צYou must enter a number.# - #  - +Ín áX$YesצNo & ö  Q 6 N$ǝ#" צHit <RETURN>: & n   &ڪ(ǝ & @@E CLRSCR(LINE:INTEGER); %FUNCTION READINT(REQD:BOOLEAN;DEFAULT,LOVAL,HIVAL:INTEGER):INTEGER; %PROCEDURE GETVOLUME(VOLNUM:INTEGER;VAR VOLSTR:VID); %PROCEDURE DISKTHERE(VOLNO:INTEGER;VOLNAM:VID); " PROCEDURE HITRETURN; # # #IMPLEMENTATION E %USES MEMADDRESS; %CONST 'SCREENWIDTH= 40; 'TIDLENGTH= 15; 'VIDLENGTH= 7; %TYPE 'SCREENSTRING=STRING[SCREENWIDTH]; 'TID= STRING[TIDLENGTH]; 'VID= STRING[VIDLENGTH]; $ %FUNCTION VERIFY(PROMPT:SCREENSTRING):BOOLEAN; %PROCEDUR4hhhhhhHHHH@ڭ`4t>46 *,,#5:NOVDXPAS.CODEAPDISK #5:NOVDXPAS.TEXT#5:NOVDXPAS.CODE[*]APPLE2:SYSTEM.SWAPDISKhhhhhhhhHHHH`0hhhhhhHH`(hhhhhhHHHHڭ`4hhhhhhHHHHڭ`APPLE2T NOVDXPAS.CODEz6 ʪz|z6 5b6 *,,#5:NOVDXPAS.CODEAPDISK #5:NOVDXPAS.TEXT#5:NOVDXPAS.CODE[*]APPLE2:SYSTEM.SWAPDISKBBB B B B B*:Copyright (c) 1982 Mark Guenin and William Schwartz, M.D. g<,Ɓ1-ƁY-#4:NEWINTRO.FMT"ˡ-צ#5:NEWINTRO.FMT#1:-Uǯ?- "ÄۓÄU"ɍáiHit the key marked "RETBצHELP.FMT"١B #5:HELP.FMT"ٓBjB\á ٢(ȡ-ȡ< JƁ/צ #4:CASE.BLOD"' qu%&"Ɓ.צ #4:CAMPS.FOTO"ء`ǰ?+ ,+-+-ȡ$,*,,+++.-+-ȡ++TZ   z 8  '́ʁȡ'"ˡ''́ʁʁʁ́́ʁʁȡʁʁʁ́́́ʁʁȡʁʁʁ́ʁʁʁʁ'91''́ʁʁ! ʁ &'ءve tried this one before?(Y/N)99wצ"Well, either someone has used yourצ number, or you entered it wrong.'' *STUDENT.INFO"ˡ'''"' &ë9''צ case? (Y/N) 99Z&Äړ&˄9'''́ʁʁ! ʁ &'"' vצ%Either you entered your number wrong,or your record's been deleted.'%So you'צ properly. ؓl'ƁS<' *STUDENT.INFO"á' '́'' ٍʁō-'́ʁ!ʁ ٓ '' ٓצIs this your first try for thisEnter your choice (1-3) ==> &&& F0 ^צ%Just a moment, please. I've got some work to do.'"ءV4צMake sure the disk is insertedš0ȡ!ڛ@[Ʉ ڛ  4šš Are you aצ 1. Non-M.D.צ 2. M.D.צ 3. (For official use only)Type in your last name, please(15 letters maximum). Don'tצforget to hit <RETURN> : (šU_{Ʉ  RETURN> when you're finished). ==> 2 &( á( ȡٛ9Ųٛ0ɍؓ ˍ 4 ؄! Q ȡ٢!٢9٢;٢:3e צ$Type in your Social Security number,צ$ please. Don't use dashes or spaces,צ& simply type all the numbers together.צ (Hit < room on the diskette.Please notify your instructor. ٢צ٢ צ٢צ ٢ ٢٢٢ ٢ ٢ ٢ ٢ ȡ٢6RETURN " to continueZצ Hit <צRETURNצ> &-(114צ! There's noURN " to continueZצ Hit <צRETURNצ> -U&UáiHit the key marked "צ#4:DEBUGTRUE.FLAG"ë7P f.'á!á2 <  7 4צEnter the name of your CASE צ File: 2 ]צ#5:š ]]]Ŷ]Ȅ 㓡 4-  צ.BLOD "ˡ?4צ is not on file.   צ.BLOD l #4:CASE.BLODרʂ  ƁHƁHj,(r66r(r0p PF h B  z (db0ˡآأ ˡآ H ["H"أ!ˡآ!D H"أˡآH">g ~ 2H"* lƁHƂt"ƁĜʂʂ COMMAND   (š ۢáۢHHH"ˡآH"ˡآH"ˡآ H"أˡآˡá(á 'H P(ڲ(š ڢڣáڢB f( š    ɡ۲)0L 7( 2  H 2 T(۲((š ۣۢáۢD h("ˡN4.INFO is not on file.H  jdH#4:CASE"ˡHצ#5:CASEצ #4:CASE.INFO"ˡ #5:CASE.INFO7 Memavail:  Category : צEnter the name of your CASE צ File: 2  Ȅ 䓡 4H"ˡI4 is not on file.H.INFOes you'll have in the simula-&tion. Don't bother trying to keep up;"they're just something to keep you"busy while I go about my business.  7 4צ$DISKETTES AND TURN THE COMPUTER OFF.ʁ]á ʁ]́^ ʁ]́^ʁ^́[! COMMAND רʁ_ -v{ The names you'll see above are&the choicZ--ʁZ--ʁZ٫ --ʁZ٫ --ʁZ٫ --ٟˡʁZ٫ -ؕ́]ʁ](ĩ744YOUR CASE IS TOO BIG TO LOAD!!!צ"NOTIFY YOUR INSTRUCTOR. REMOVE THEZޢݚޢߢVˡߢ Zˡߢ L Hߢ ߣ!ˡߢ! ߣˡߢ * >`bVJáZޢݚˡ&  -ƁYƁ1 ث-́_ە́ELOCATING... 7&צDONE WITH BPTSTACK  7'DONE WITH SITUATIONˡ  7&צDONE WITH SYNOPSIS 7'צDONE WITH DIAGNOSIS 7 ˡ, L Zضˡ Z, HZضˡZ(Dأˡآˡآأ ˡآ 0 7+  R"ˡצ #5:CASE.BLOD- #4:CASE.BLOD"ˡ-צ #5:CASE.BLODn. ˡ ˡZآ  0 ˡ#أˡأZآأ"2 ؓZٶˡ Zآأ ˡآ H ["H"أ!ˡآ!D H"أˡآH">g ~ 2H"* lƁHƂt"ƁĜʂʂ COMMAND 1 צCase Introduction1؟ˡأ+j á آ(צContinue? (Y/N) 08E #You haven't requested anything yet!@@; ٢t٢XعH٢á٢á٢0٢--ת  :8 ˡáȡ_á;  ɡ    ȡ  šk צ&Some of the test results you requestedצ have just come in.  {}  & 6H|r <  ree: r  Memavail = (  צMORE  -------------ת  :8 ˡáȡ_á;  ɡ    ȡ  šk צ&Somo you really want to quit? (Y/N)6 ɡ  ٢ؕ0 > 7_Size of tree: r  Memavail = (  צMORE  ----------- able toצ$ go back and ask any more questions.1%You haven't prescribed any treatment.צ$ It's not obligatory -- this is justצ a reminder.1צ!D . EXIT AND ENTER DIAGNOSISSj_ 2 D 4You've just chosen to stop the% simulation and enter your diagnosis.1%Please note that you won't be    . HELP !!! צ. SUMMARY OF OPTIONS CHOSEN צ. GET PENDING LAB RESULTS צ. INTRODUCTION TO CASECOMMAND Zצ Back to ** MAJOR OPTIONS **Z צ**   **ݟÍġݟáš xˡá .  ܟÍġܟáġˡ  á צ.   workup? (Y/N)  5 צNo tests are pending.! JEbr . << See more choices >>ɡš  ńɡ šHave you finished your initial111צ%(You'll be allowed to go back and ask$ more even if you haven't finished.)D Choose one ( - )šצ or hit <RETURN> to go back to Page 1: :ضצ** Ŷ; ;  --  COMMAND &צMAJOR OPTIONS **$  ** Page  צChoose one of the following:á٢á ٢ O,á@@@á;٨ˡ @@ۡˡ*ܓ&צThat's all you requested. ګ ݫ@; T؟ˡأ(8٣ ؟ˡ#  2D؟ˡ# أ3 DءצPositiveצNegativeF 1צCost to patient: $ r your diagnosis:&ƁƁš́Ɓ́ʁʁȡ/Ɓʁ́ʁ`ʁ{Ʉ Ɓʁʁ ʁ́́5ʁƁ5ʁ́ʁé55FGood job! That's correct! 1́ʁƁ2 2 P2 š á22rƁ-<7-צ INTO LOADDX( 69/ *STUDENT.INFOƁiب<1צPlease ente62 #4:CASE.INFO"ˡ2צ #5:CASE.INFOj.'á$2Ɓ^"Once again, I'll be with you in a  moment. 2 P2 2 Pצ šš1ġ!áצ00000000ɡ-ƀƀ&#š87(2j.INFOצ šȡi013w5h2Y4J6;AZ4pc8Xxk@~FH;[]T8Xxbf"ء x צ#Here are the results of some of the tests you requested.6! j J  KKءr1 צSUMMARY OF OPTIONS CHOSEN18צ** ڥ; ;  --  צ **ڢ    s are:أ ˡE1צ$He suggests the following lab tests:1Cost to patient: $K 1آآKKءr1 ám'The specialist has examined the patientצ and has deferred diagnosis.צ(This specialist diagnoses this conditionצ as أˡ@1His differential diagnose> áG1 צ has now been administered.1צCost to patient: $ 1آ;  آ-آ-آ أB RESULTS."1 .آpآ 0- ';آآآ|~ آ#آآá:1Results will not be availableצ in the near future.آ1צ!Results are pending. To see these! results, request the option "GETצ PENDING LAآ  آ צ High: آ  آ 1 أ!lأ a1 Results: آ צ Normal: آ f]آD آáآ צResults: آ  آ 1צNormal value: آ  آ Range: Low: 55ʁ́5ʁÍ5צThat sounds close enough. Yourצ" instructor listed the following:1 ʁʁ́ʁˡ4ʁƁ ʁʁ́1צSorry, that is not correct.The following are correct:1́ʁʁ́ʁá91צ#Do you wish to appeal--i.e., do you"want the instructor to review yourצbothצ the computer andצ the video monitor.1צ)Thank you for using the CAMPS System. 2`@ove the diskette from the disketteצ# drive and place it in its sleeve.1צHANDLE IT BY THE LABEL ONLY !!1Don't forget to turn off צ This case was written by(1(ȡ pȡ !You have finished the simulation.1%Rem.( ́CʁCƁ.(ʁC y,6Cˡ<أ؟Í ؟á@> V (ȡ 110uTƁ-7+́CƁCjƁC.INFOƁC4 #4:CASE.INFO"ˡ #5:CASE.INFOƁ.(Ɓ.áƁ.(Ɓ.šsƁ.Ɓ.(Ɓ.ÍƁ- lab tests: $  - consults: $ צ - treatments: $ --------TOTAL COST TO PATIENT: $ 1ƥ-ʁʁ́ʁʁʁʁʁʁʁʁʁʁ1 You chose  צ choices.1צCost of - visit: $ צ your score will be ʁd %.)́ʁʁʁʁ́́ʁʁȡ2ʁʁʁʁʁʁ́́́ʁʁȡ2ʁʁʁʁationצ yet, so your score is 0. ́9́ʁ ́ʁʁ ʁ ʁ!ʁ6-ʁ9ʁ;ʁ:ʁʁʁ צ& (If your diagnosis is deemed correct,צ  5 d*Ɓ-<צ *STUDENT.INFOƁiب<ʁkšÓצYour final score is ʁ %iצ"No experts have run the simul(ššO(šá4 ȡ ȡ8   ȡ2-   šOká ڶk$     ȡ/l  ȡ)  צdiagnosis? (Y/N)ƁƁrƁƁ 905ƁƁƁrƁƁi<KMZ-Y~!B>hL Ɓ ʁʁ́1\  ette from the disketteצ# drive and place it in its sleeve.1צHANDLE IT BY THE LABEL ONLY !!1Don't forget to turn off á   ؚٚ(á  ؟ˡ!áث ˡ٢ث 0eBn 4 3ǝ2 10    :  B r$ Your mission in this simulation is to arrive at the correct diagnosis based on the information given you at your request. You will be allowed to select any number of the options with which you are presented. Furthermore, you may request th Now that you know how to make yourself understood, a general description of the simulation is in order. ses? (Y/N): The "(Y/N)" at the end of the question reminds you that only one letter is necessary. And don't forget, hit <RETURN> after typing your response. a yes-or-no response. All I need in order to understand you is a "Y" or a "N" for a response; you needn't type out the full word "YES" or "NO". Sample: (don't bother answering it) Do you wear glas Very good. From now on, I'll simply say "Hit <RETURN>" or "Hit <RETURN> to continue." One further convention: from time to time, you'll be asked a question which requiresTURN" key) and re-type your response correctly. Therefore, be sure to hit "RETURN" after you type in any response. ust typed. If I ask you to type a response, I will wait until you've hit this "RETURN" key to accept your answer. This way, if you make a mistake in typing, you can back space over your mistake using the left-arrow key (under the "REith a few differences. The key marked "RETURN" at the right edge of the keyboard is similar to the "CARRIAGE RETURN" key on a typewriter. You will be using this key frequently -- it tells me to accept the information you've j Welcome aboard. If this is your first experience with the CAMPS System, let me point out a few of my features. The keyboard you're facing is very similar to a standard typewriter keyboard wn. When you have reached a diagnosis, choose the last option, but be sure you're sure -- you won't be allowed to go back. e). Look over the last five options carefully -- these can be very helpful. You can review the case introduction, review the options you chose earlier, or call up your pending lab results by choosing the appropriate optio options listed between them are the titles of the options you chose to get to where you are now (the choice labeled "MAJOR OPTIONS" is the first list of options you saw when you started the simulation -- if you're totally lost, choose this on ADDITIONAL INFORMATION The title in the upper left of the screen tells you which option is currently being displayed. The choices above the dotted line are the subclasses of this option. If there are two dotted lines, the|te from the disketteצ# drive and place it in its sleeve.1צHANDLE IT BY THE LABEL ONLY !!1Don't forget to turn off em in any order you desire. First, you will be presented with an introduction to the case. Then, a list of options called the "MAJOR OPTIONS" will be displayed; you should choose one and go about investigating the case as you normally would for a real patient. If, at any point, you don't understand the options presented to you, select the option called "HELP" for further information. `0`  `c`8`` `l`F0```8p@1p<0@p`6"*""*"$""`"<6```0 0@ 0``POcf#dC#PKGGAgCC`@\l@@@``P @ @0 @` 888f0p`@'D`aC`~`@ `p`": "" `` `;0@ <```@p@  `cp p``0@l ```ppp@` 0`@3p<0`8@`*<* "*<""`"`8@`p 0`8``P @0 @`8Xn@p`` D' @GE'D#`ppp`@80p0nX8<` $$`!` ;p@ p<`" """``` 0@```@`@  `s0```@l p@ ``PKGGCGGP/@cCC'0LCA#`@p@3p80```* *"" *"`` `?|` 0`x@``0 @p@`8088f`8x` $$  $& !``p``0LX@`@'$``'` 7p@~8|```80` 8`F@````@`30@`~xxO||`|~G`G`?` Good luck and enjoy yourself. !$`@ ` ``"""""<``@`7px8`  @`P/$%$D dP+ !@ $`  Nl`` P P ` fp8```` `F `F@`@``6x`X````0` <p`` <"`@ 080@1@```0L#$@C'PkcCcCG`@@cLL p``@cC`Pk'!@P/ $a'p+!!$`@s00p?8`""6"`!D```8@ pc8`  ">```@`06@p` d  $$!`` `F `f@p`` 06X`\``` `0` 8``"< $*`p080@1@p``P+$e#F$ P D$ `@cLL<p``P*$!l $!$0,!!$`g8```" "`!$` `@@@0@`""<<"$"``@`06`0@` E#' DcCa``8@ `g@0``@0`6`l@```@7` @`` ">*`8`000@9`8``P/$%$D`'HCAC`'`g\l<``PJCGAGP+GcAcPO!DaC` |f`p``!d`@@@@ 8@ `""""" "`` @p6`8`p`` ``8p  `c`8`` @~ `N````8@98>p@@`"<"<"6<>"`""*` p@p0 0@ p```p0@ `gp``pp`p`p0v@`` D'` &d'!`p p``@`qL\``$$`P+ ! P/ $! P+A!D``3p00`p`"  6<":>*"`G.U.DYSURIAHAS NO DYSURIAT>4 vBED WETTNGHEMATURIAETNONED6!W,z3MUSC/SKELOUTPUTZ.THE OUTPUT IS NORMAL.6!W,z3BED WETTNGEjNEVER W PAST 3 DAYS. VOMIT 2 X/DAY PAST 2 DAYS8p@1p<0@DIARRHEA$DIARRHEA PAST 3 DAYS, INCREASING IN  SEVERITY, ONE INCONTINENT STOOL.`CONSTIPT'NZ.$TENDS TO BE CONSTIPATED- EATS FRUIT.BLEEDINGjNONEGO AWAY~WITHOUT TREATMENT.`@FOOD INTOLDOES NOT LIKE VEGETABLES.DIETN%EATS A REGULAR DIET, THREE GLASSES OF"MILK A DAY. TAKES NO VITAMINS.`NAUSEA/VOM^'NAUSEA AND VOMITINGMURMURSNO HISTORY OF MURMURSPREV. B.P.%THE PRESSURE WAS ALWAYS LESS THAN 100CYANOSISNONEG.I.BPAINR&THERE ARE A FEW GAS PAINS THAT 'THERE WAS SOME WHEEZING AS A BABY, NONENOW.`@PAST HIST NO PAST HISTORY OF CHEST DISEASECOUGHBTHERE IS A RARE BARKY COUGH.EXER TOL~RGOOD#THERE IS NO BLEEDING FROM THE NOSE.DISCHARGE'THERE IS A CLEAR DISCHARGE IN THE FALL.SORE THR'TRARELY HAS A SORE THROAT.DYSPHAGIA&NONECHEST2bWHEEZINGrR.O.S.HEADRniHEADACHES NO HEADACHESVIS PROBS&THERE ARE NO VISUAL PROBLEMS.HEARING b6THERE ARE NO HEARING PROBLEMSEPISTAXISrT WORSE? TREATED"%TREATED AT HOME WITH KAYOPECTATE AND "TYLENOL. FAMILY NOT SURE IF THIS TREATMENT HELPED OR NOTFAM. OPIN?2FAMILY WONDER IF THIS COULD BEE PROBLEM^ APPENDICITISISTORY OF DIARRHEA (8/DAY ANDa(ONE INCONTINENT),CRAMPING LOWER ABD PAIN(AND FEVER TO 103. VOMITED TWICE, NO BLD. NO APPETITE? BETTERR&NOTHING MAKES IT BETTER? WORSEbNOTHING MAKES IS 5 YEAR OLD CHILD HAS A 3 DAY HX OF'DIARRHEA, FEVER, ABDOMINAL CRAMPING ANDOCCASIONAL VOMITING.HISTORY!^H.P.I.5NiCHIEF COMPVE*DIARRHEA, CRAMPING AND FEVERzbDURATIONf(THREE DAY HULTURE CONFIRMS THE ETIOLOGY.(IN SOME LABORATORIES IT MAY BE NECESSARY(TO SPECIFY CAMPYLOBACTER SUSPICION WHEN &THE CULTURE IS ORDERED. ERYTHROMYCIN IS THE SPECIFIC TREATMENT.TUCKER/SINGLETONn'THI ENTERO-COLA2030205(THE DIAGNOSIS OF CAMPYLOBACTER ENTERITIS(SHOULD BE MADE BECAUSE OF THE COMBINATIO'N OF HX OF EXPOSURE TO UNTREATED WATER,(DIARRHEA, ABDOMINAL PAIN AND TENDERNESS,:"FEVER,AND THE HEME POSITIVE STOOL.f(THE STOOL Cr kB CAMPYLOBACTER ENTERITISICK.MASTC0510401 CAMPYLOBACTER COLITISDIARRHEC0510401 CAMPYLOBACTER ENTERO-COLITISC0510401IACUTE CAMPYLOBACTER ENTERITISA2030205b2ACUTE CAMPYLOBACTER COLITISvbA2030205^ACUTE CAMPYLOBACTER`@@`0`p`````@8p@38@`ET THE BEDW 6!W,z3MUSC/SKELZLIMPEUTHERE IS NO LIMP.ESz3C.N.S.PAIN-JNTSNONENO MAJOR TRAUMA 6!W,z3INJURIES.RARE INJURIES NO BROKEN BONES,z3C.N.S.ZjTRAUMAEOzNO MAJOR TRAUMACOORDINATNSEIZURESET NO SEIZURESW,z3SKINMOTOR VERY STRONG AND ACTIVED A RASH FROM CHERRCOORDINATNEN.EXCELLENT COORDINATIONOR POISON IVY3SKINjRASHESMAL%CRANIAL NERVES ARLOWERi3)EXTREMITIES ARE NORMAL%GAIT IS NORMAL NEURO EXAMj,z3)SENSORIUM*IR)&SLIGHTLY LETHARGIC BUT NOT DISORIENTEDz3MOTORN*IO"*STONG AND HAS GOOD TONETEST IS NORMAL,z3SENSATION*)P^*SENSORY EXAM IS NORERACTIVERECTALI,('STOOL 3+ HEME POSITIVE, OTHEWISE NORMALOO(PERIANAL AREA CLEARGENITALIA>))N)GENITALIA ARE NORMALREFLX-D.T. %U$REXTREMITY)RMN)UPPER)i3^)EXTREMITIES ARE NOR0L#$@C'PkcCcLIVER'IA''LIVER EDGE PALPABLE ON DEEP INSPIRATIONR' NON TENDERcC`SPLEEN2(I(THE SPLEEN IS NOT PALPABLEMALW,z3AUSCULTAT(I B(BOWEL SOUNDS ARE INTERMITENTLY ATOUS, SLIn( HYPPULSES ARE FULL AND EQUAL!U:"ABDOMRHYTHMIP&THE RHYTHM IS NORMALPLEEN!Uv"THE SABDOMEN)PA&SHAPE&' &ABDOMEN IS SCAPHOID'STOOL 3+ HEME POSITIVPALPATION'IM6' DIFUSELY TENDER BELOW UMBILICUS HARGIC BUb' BILATERAL#BREATH SOUNDS ARE NORMAL - NO RALESPULSEHEART& E%SIZE% %THE HEART IS NOT ENLARGEDHYTHM IS NORMAL!SOUNDS&& %THE SOUNDS ARE OF GOOD QUALITY"U!BOWELMURMURSb&IE6&THERE ARE NO MURMURS.LPATIONU! DIFUSPULSE&IWr&"NECK IS SUPPLE THERE ARE FEW NODES #BREATTHYROIDIR$THYROID IS NON PALPABLET!Tv SIZELUNGS% H$RESP&%IA$'RESPIRATIONS ARE NORMAL: NO RETRACTIONS SAIR ENTRYb%IO6%AIR ENTRY IS GOOD BILATERALLY*!U THEREBRETH SNDSI.r%HERWISEORMAL#NORMALKD$ `@cLEARS# #EARS ARE NORMAL; TM NORMALD IS NON PALPABNOSE&$ #NOSE IS NORMAL TͲRESP5'RESPIMOUTHb$IM6$#MOUTH IS NORMAL: TONSILS ARE NORMALAIR ENECK$ILr$f"U'LIVERHEAD CIRC.")O"HEAD CIRC.= 47CMJ NON TENDERNORMALBLOOD PRES "BLOOD PRESSURE= 90/60ARS ARE NORMAL; TM NSKIN6# #MODERATELY POOR SKIN TURGOR NORMAL 6!HEAD$F#EYES# V#"MODERATE CONJUNCTIVITIS, OTLASTED 6 HOUR NEONATAL%4!'CRIED IMMEDIATELY: APGAR 9: NO JAUNDICED !WENT HOME WITH MOTHER ON DAY 40PHYSICAL-ND!VIT. SIGNS"60 "TEMP/P/RF" " TEMP 102 PULSE 110 RESP 20 THE STOOHT.-WT."ESV"HT.= 120CMS WT.= 24 KG.OOL AND LOVES IT DOES WELLMPLIINTERESTS%H LIKES TV, BOOKS AND DRAWING;MEDIATELY: APNEWBORNDI PREGNANCYF!EE !FULL TERM UNCOMPLICATED PREGNANCYYSICAL!TOOK IRON PILLS AND VITAMINS`8`DELIVERY!ETV!(DELIVERY WAS UNCOMPLICATED CHILD. ILL&HAD MUMPS AT 3: HAD SHOTS FOR THE RESTELLFAM/SOCIAL RFAM. HX.V E,HAS A BROTHER 2 YEARS YOUNGER.NEWBORN&NO FAMILY HISTORY OF CANCER, ANEMIA OR |* DIABETES.`p`SCHOOL f %GOES TO SCHERPAST MED.HEALLERGY$HAS NO DEFINITE ALLERGIES -? RAGWEEDHAD SMEDICATIONESTAKES ASPIRIN RARELYAM. HX.S͚HAS ATRAUMA:ESNO SIGNIFICANT TRAUMAO FAMILY HISTORY OF HOSPITAL.v%OJNEVER HAS BEEN IN THE HOSPITALYS AGO. DRANK UNTREATED STREAMWATEREXPOSURESER(THERE ARE NO KNOWN EXPOSURES TO INFECT'NSLIV. COND.:E!(FAMILIY LIVES IN THE CITY. 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