after she was seen at her pediatrician’s office for one day of a bulging fontanelle.
The child has had some mild rhinorrhea this week, with tactile fever yesterday. The girl has had no vomiting or change in appetite, intake, or output. She has had no rash or inconsolability. Her mother brought her in to her pediatrician today because two days ago she was given DPT vaccine, and now with today’s events she is convinced that her doctor has made her baby “brain damaged”.
On examination, T 37.9 HR 140 RR 28 BP 86/60 SpO2 100% RA
The girl is interactive, smiling, comfortable, and taking PO well in the ED. She has a fairly tense, non-tender, bulging anterior fontanelle. Her neurologic, cardiopulmonary, abdominal, and skin examinations are normal.
Which of the following is NOT a potential cause of this condition?
B. Congestive heart failure
C. Otitis media
In the meantime, a quote –
Medicine is a science of uncertainty and an art of probability.
– William Osler (1849-1919)