Sporadic

Nervous System & Special Senses


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 4 year old girl has presented with an acute encephalopathy - a medical emergency with potentially life threatening consequences.\n\nShe needs immediate resuscitation and stabilization, followed by close monitoring, ideally in an intensive care setting; diagnostic evaluation can proceed in parallel.\n\nThe differential diagnosis is wide; key possibilities include central nervous system (CNS) infections; cerebral tumors; intracranial hemorrhages (which may be secondary to child abuse); metabolic derangements or electrolyte disturbances; liver or renal failure; endocrine disorders such as diabetic ketoacidosis; sepsis; drug overdoses; and, given the history of Aspirin ingestion, Reye or Reye-like syndromes.\n\nNote the history of a flu-like ill"}]}

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