Renal & Urinary System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 10 year old girl has presented with a tonic-clonic seizure in the background of fever and a headache.\n\nAt first glance, this presentation is strongly suggestive of a central nervous system (CNS) infection such as meningitis or encephalitis. A vascular accident such as an intracerebral or subarachnoid hemorrhage is the other key possibility.\n\nHowever, her acute blindness is perplexing, as this is not typical of the above etiologies.\n\nNote that acute bilateral loss of vision is often cortical in origin - this is supported by the unremarkable fundoscopy and normal pupillary reflexes.\n\nThe presence of hypertension provides an important clue - could this be hypertensive encephalopathy ? However, it should be kept in mind that intracranial h"}]}

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