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A 5-Year-Old Boy Is Brought to the Emergency Department with Worsening

Question 281

Multiple Choice

A 5-year-old boy is brought to the emergency department with worsening somnolence, lethargy, and decreased urine output.  The patient has no prior medical conditions but had abdominal cramps and diarrhea several days ago that later became frankly bloody.  Physical examination shows mild pallor and moist mucous membranes.  Laboratory studies reveal elevated blood urea nitrogen and serum creatinine levels.  Peripheral blood smear shows fragmented erythrocytes.  This patient's condition is most likely related to consumption of which of the following foods?


A) Canned beans
B) Custard
C) Fried rice
D) Mayonnaise
E) Oysters
F) Raw eggs
G) Undercooked beef

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