Infantile botulism

Milla is a 4 month old girl, brought into ED by her parents.  She’s been quieter than normal for the last couple of days and today seems really weak and not sucking on the breast any more.  On examination she has poor head control and marked hypotonia.  They also mention a history of constipation for…

Status epilepticus

The batphone rings at 5am. You are given a 5 minute ‘heads up’ by paramedics regarding a 3 year old child they are rushing to you with lights & sirens. She has a history of seizure disorder and has been actively seizing for 45 minutes….

Ventriculoperitoneal shunts

An 8 yr old boy presents after three vomits at home.  He has a background of spastic diplegic cerebral palsy and has a ventriculo-peritoneal (VP) shunt.  He is usually ambulatory and attends mainstream school. What goes wrong with VP shunts? How can we assess them for failure or infection?

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