PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. This is the fourth of the four cases.
This case was submitted by…
A previously healthy 19-month-old male presented with lethargy and abdominal distention from an urgent care. His Mother noted that this morning he was difficult to arouse, unwilling to wake up, and his abdomen was more distended than usual. There is no recent history of vomiting, diarrhea, cough, cold, congestion, fevers, trauma, or any known ingestion.
Physical exam
Vital Signs: Temperature: 37.9 °C, HR: 193, BP: 141/90, RR: 27, SpO2: 97% on RA
HENT: Normocephalic and atraumatic
Eyes: Pupils are equal, round and reactive. Normal tracking
Cardiovascular: Tachycardia. Regular rhythm
Pulmonary: Normal effort. Clear in bilateral lung fields
Abdominal: Distention. No tenderness. No palpable mass
Genitourinary: Penis and testes normal
Skin: Warm and dry. Capillary refill less than 2 seconds
Lymphadenopathy: No cervical lymphadenopathy
Neurological: Moving all extremities. Irritable and sleepy
Relevant Labs
Hgb 9.9 mg/dL
Hct 30.7%
Platelets 134 × 109/L
Alk phos 470 U/L
AST 84 U/L
ALT 40 U/L
VBG pH 7.320, pCO2 81, HCO2 22
Urine Drug Screen positive for cannabinoids
The patient had chest x-ray without any notable pathology. A CT scan of his head was obtained due to his lethargy, and was negative for any acute pathology. His abdominal x-ray is pictured here.
Based on his x-ray and abnormal labs, a CT of his abdomen and pelvis was also obtained with one relevant image shown here: