Published in:
01-09-2013 | Clinical Quiz
Buyer beware! doctor be aware!: Questions
Authors:
Elizabeth Anyaegbu, T. Keefe Davis, Kara Kniska, Keith Hruska, Anne Beck
Published in:
Pediatric Nephrology
|
Issue 9/2013
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Excerpt
A 6-year-old girl presents to the emergency room with altered mental status. She is acutely non-verbal and unable to vocalize sounds. She has bilateral nystagmus and facial twitching. She has marked hypertonia with her wrists persistently flexed and her feet and toes hyperextended. Reflexes are not elicited. She does not withdraw from painful stimuli. …