Author: Jacqueline Eleonora Ek /Â Editor: Nick Tilbury / Reviewer: Jacqueline Eleonora Ek / Codes: GP9, MHP3, NeuC2, NeuP2, SLO1, SLO4, SLO6 /Â Published: 08/02/2021 / Reviewed: 30/09/2024
A 25-year-old female with no past medical history, on oral contraceptive tablets, presents to your Emergency Department (ED) with a two-day history of headache, diarrhoea, vomiting, fatigue, and sending incoherent text messages to her friends.
She was seen the day before by her GP who encouraged oral fluids and over-the-counter analgesia for suspected viral gastroenteritis.
Her Initial observations are all normal
Examination findings are as follows:
- Chest: clear
- Abdomen: soft, mild generalised tenderness
- Lower limbs: no signs of deep vein thrombosis, no oedema.
- Neurological exam: cranial nerves 1-12 intact, upper and lower limb power 5/5 and sensation grossly in-tact, No cerebellar signs, normal gait
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11 Comments
Rare presentation but useful info
Invaluable case study
Learned something new- Dystextia. Thanks for rare but useful presentation.
I learnt something new – dystextia.
Disease of modern era associated with gadgets
Really interesting case.Thank you very much.
COOL
nice case
Very interesting case. Many thanks for this useful module.
very useful
Sadly, sending incoherent text messages is widely prevalent