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Showing posts from February 2, 2020

Girl with fever vomiting and head ache

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11 year old girl child was bought with complaints of Head ache and vomiting    4 days Fever                                  2 days Seizures today while on transport to our hospital She was normal child going to schoo l.No past history of significant illness. At the time of admission in PICU Airway was normal,shallow respiration Pulse was good volume,regular 58/mt Blood Pressure above 95th centile  EMV score  8 Temperature 100/mt. After stabilizing measures detailed history was taken No history of skin rashes, or bleeds.  No history of fall/trauma, No history of ear discharge. No history of contact with tuberculosis ,  No history of cough, fever or recent weight loss  History of travel outside state from school . History of taking bath in swimming pool Discussion Previously normal child 11 years presenting with fever altered sensorium possibility of 'encephalitic syndromes' was considered. This is s vague diagnosis which includes many entit