00:00Asalaamu alaykum
00:01So, yesterday I posted this case
00:04What do you people think of the diagnosis?
00:08So, this case was in emergency.
00:11It was quite interesting.
00:13So, I thought it is worth sharing.
00:15So, a 14-15-year-old child
00:17with lymphoma diagnosis
00:19took 2 days before chemotherapy.
00:23After 2 days, she comes in emergency.
00:26And the child is like this.
00:30She is looking at her eyes.
00:31She is looking at her eyes.
00:32Abnormal posturing is still happening.
00:35And my fellow doctors,
00:39we started seeing a case together.
00:43So, whenever you have cancer,
00:46there are some common things
00:48in your mind
00:49whenever you are experiencing
00:51any neurological thing.
00:53So,
00:55I have seen her powers and other powers
00:59were fine.
01:00Ordinations were fine.
01:02The child had no more neurological deficit.
01:07It was vitally stable.
01:09So,
01:11in this case,
01:12our differential diagnosis
01:13started to be
01:14that first of all,
01:15it can be either brain metastasis,
01:18it can be raised intracranial pressure
01:20due to any cause.
01:21It can be a space occupying lesion
01:23or a traumatic brain injury.
01:27Secondly,
01:28in this case,
01:28you have a seizure disorder
01:29in your mind.
01:32Because,
01:32this condition
01:33we call acute dystonia
01:35that's the problem.
01:36I have struck me
01:39that no neurological signs
01:41are not
01:41in the existence.
01:41Vitaly child is completely stable.
01:44So,
01:44are we missing something?
01:46I have to think about it
01:48and so much
01:49we have to think about it.
01:49Investigations,
01:50obviously,
01:51we have to send off
01:52which we have suspected
01:53had to be suspected.
01:53Meningitis,
01:55or Encephalitis.
01:57We have to be suspected
01:58of the investigation.
01:59We send all of those things
01:59to be suspected.
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