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Question |
7 months old female child previously treated for obstructive hydrocephalous with VP Shunt at the age of 4 months, now presenting with acute onset of fever and floppiness of all limbs of 4 days duration. O/E Hypotonia more in LL, DTR just present, Plantar- Bil. Flexor. Other systems- WNL. WAT`S probable clinical diagnosis before proceeding to Investigations?
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Answer |
What is her immunization status? Is it a lower motor neuron involvement of upper motor neuron? What about cranial nerves and signs of raised ICT? If anything suggestive of raised ICT or cranial nerve involvement or UMN lesion, one must rule out SLIT VENTRICLES and shunt infection. If LMN type rule out GBS, polio.
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