Vomiting and Headache - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question
10 year old male child, average built presented with vomiting and headache. No fever no convulsion no abdominal pain no loose motions no otorrhoea no ringing bell sensation in ear no earache. On 2nd day of admission his vomit contained worms. o/e: BP 94/70 RR:18 PR:92 CNS:oriented in t/s/p but drowsy. No cranial nerve palsy no F N D sensory motor :nad, no neck rigidity, no nystagmus no other cerebellar signs. unable to sit in upright posture able to lie in recumbent posture as and when made upright c/o giddiness nausea and followed by vomiting. was started on iv ondensetron,rantac given antihelminthic emperically given mannitol for one day no improvement in patient's condition even after two days of treatment. p/a: no distension, guarding, rigidity, tenderness, softL0 S0 CBC: nad BUN CREAT SGPT SGOT BILI normal PROTIENS 7.8 ALBUMIN 3 GLOB 4.8 ELECTOLYTES normal USG abd: nad CT BRAIN: nad.
Answer
The blood pressure is on the lower side. Rule out hypotension due to vomiting. Also rule out migraine. Back to All Questions

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