Presentation A 16-year-old African American girl presents to the emergency department with severe cramping and pain in all quadrants of her abdomen, with the most severe pain located in her right upper quadrant. The pain had started 24 hours previously and initially was dull and diffuse. The pain has worsened progressively with sudden, more severe pain developing in the right upper quadrant 5 t...

A 11-year-old girl was admitted with abnormal movements involving the left side of the body. Her symptoms started 9 months back when her father died. She became moody, irritable and lost interest in play and activities. She developed excessive fears, crying spells and disturbed sleep. She had loss of appetite and started losing weight. Her handwriting and academic performance deteriorated. The ...

abstract: griscelli syndrome (gs) is a rare disease first described in 1978. it is inherited in autosomal recessive pattern. this disease is characterized by partial albinism, pigmentation dilution, cellular immunodeficiency, neurological involvement & uncontrolled phases of macrophage & lymphocyte activation. we report a 5 months old iranian girl presenting with silver-gray hair,eyelashes and ...

In the morning of 12th February 1873, a girl, aged about 5 years, was brought to the dispensary by her mother, who stated that she had for a long time noticed something in the right nostril of the girl, which impeded her respiratiou to a slight extent, and which she was very anxious to have extracted. On making an examination I saw a small oval body in the right nostril, which I thought to be u...

What began for all of us as a simple medical elective turned into a race to save the life of a 13-year old girl, Tenzing. She had been a healthy, normal 13-year old girl from Kargiakh, a small village nestled in the Indian Himalayan Mountain Range. When our team arrived in her village after a 4-day trek over the high pass Shingo-La we received a King’s welcome from the local “Tea Shop” owner. T...

C ynthia works in a 350-bed community hospital on a medical-surgical unit, with specialties in orthopedics and nephrology. Her typical assignment is 6-7 patients; some of her patients are transferred from the trauma unit and some are receiving dialysis, awaiting a kidney transplant at an affiliated tertiary hospital. She is working her sixth 12-hour shift because several staff are on medical le...

Case Report A 6-year-old girl was seen for acute involuntary movements. She had psychomotor developmental delay without a definite diagnosis after an extensive unrevealing investigation. As her parents were firstdegree relatives, a genetic basis for her disease was suspected. Clinically, besides late psychological and motor acquisitions, she had discrete macrocephalus, congenital mild ataxia, a...

200 CMAJ, February 17, 2015, 187(3) ©2015 8872147 Canada Inc. or its licensors During a rugby tournament, a 15-year-old girl was tackled and her head struck her op ponent’s knee. She was slow to get up, and appeared unsteady and dazed. After using the Pocket Concussion Recognition Tool1 to assess the player’s condition, her coach suspected that she had a concussion and removed her from the game...

To cite: Wright NJ, Hammond PJ, Curry JI. Arch Dis Child Educ Pract Ed 2013;98:32–39. CASE 1 Aisha, a 9-year-old Asian girl, was referred to the paediatric outpatient clinic by her general practitioner (GP) with a 4 month history of episodic central abdominal pain. Each episode would last a few hours, affecting her about three times per week, usually during the day, but also occasionally at nig...