A patient is taking acetaminophen (Tylenol) 325 mg, 2 tablets PO every 6 hours. How many grams is the patient receiving in 24 hours?

(Number Only, do not type in gram or g with your answer)

Choice A rationale:

Hypoparathyroidism is not associated with exophthalmos. Hypoparathyroidism is a condition where the parathyroid glands produce insufficient parathyroid hormone, leading to low calcium levels in the blood. This condition doesn't directly affect the thyroid gland or cause exophthalmos.

Choice B rationale:

Exophthalmos, also known as protruding or bulging eyes, is a classic symptom of hyperthyroidism. Hyperthyroidism is a condition where the thyroid gland produces excessive amounts of thyroid hormones. These elevated hormone levels can lead to a variety of symptoms, including increased metabolism, weight loss, nervousness, and protruding eyes due to inflammation of the eye muscles and tissues behind the eye.

Choice C rationale:

Hyperparathyroidism involves the overactivity of the parathyroid glands, leading to excessive production of parathyroid hormone (PTH) and elevated calcium levels in the blood. While elevated calcium levels can have various effects on the body, exophthalmos is not a typical manifestation of hyperparathyroidism. The condition is more commonly associated with bone and kidney issues.

Choice D rationale:

Hypothyroidism, the underproduction of thyroid hormones by the thyroid gland, is not linked to exophthalmos. Instead, hypothyroidism is known for causing symptoms such as fatigue, weight gain, cold intolerance, and slow heart rate. Exophthalmos is a characteristic sign of hyperthyroidism, not hypothyroidism.

The correct answer is choice D. "Currant jelly" stools.

Choice A rationale:

Loose, foul-smelling stools are not characteristic of intussusception. Intussusception is a condition in which a part of the intestine invaginates into another part, causing obstruction. This obstruction often leads to "currant jelly" stools, which are composed of mucus, blood, and sloughed intestinal tissue. Loose stools might be associated with other gastrointestinal issues but are not a hallmark of intussusception.

Choice B rationale:

Ribbon-like stools are characteristic of intussusception. When a section of the intestine telescopes into another section, it can cause the stool to be squeezed into a ribbon-like shape as it passes through the narrowed portion. This description aligns with the pathophysiology of intussusception.

Choice C rationale:

Hard stools positive for guaiac indicate the presence of blood in the stool, but this finding is not specific to intussusception. Guaiac testing detects occult blood, which could be present in various gastrointestinal conditions, including bleeding ulcers or diverticulitis, and not exclusively in intussusception.

Choice D rationale:

"Currant jelly" stools are characteristic of intussusception. As mentioned earlier, these stools are the result of the obstruction and subsequent damage to the intestinal lining, leading to the presence of blood, mucus, and sloughed tissue. This description is a classic sign of intussusception and should raise suspicion for this condition.