Young 13 year old girl, back ground
1. Turner syndrome.
2. Recurrent Cellulitis and Shingles
3. Recent diagnosis of Crohn’s disease being followed up by the infectious diseases and immunology teams.
She presented to the clinic with a history of progressively worsening breathlessness over approximately three weeks.
No history of fever, cough or otherwise being unwell. No history of otherwise being unwell.
She had already been seen by her GP and was started on amoxicillin for a presumed chest infection.
Question 1. What are the causes of Exertional dyspnoea -
Initial Clinical Assessment
Did not look unwell, slightly pale.
Slightly tachypnoeic, with a heart rate of around 100 beats per minute. Unfortunately, blood pressure was not recorded at that time.
Chest - clear. Cardiac examination- reported to be normal
Chest X-ray was requested, and the patient was sent home while awaiting the results.
Question 2. What is the diagnosis ? Differential diagnosis?
ECG
Question 3- What is the diagnosis ? Spot 2 positive findings.
One situation- many things to learn
Thrombocytopenia Conundrum- can you solve ?
About a year ago, we encountered two interesting paediatric cases at different times. Both children presented with similar symptoms— both between age 3 and 4, one was girl and other was a boy. They looked pale, appeared tired, and were noticeably lethargic. One of the children also had picky eating habits along with pica. Importantly, there was no history suggestive of any bleeding tendency in either child.
