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Case 1: The importance of a complete history
Case 2: Rash and allegations of neglect
K Saylor | S Bellemare
Case 1: The importance of a complete history
A 10-month-old Cree boy from northern Quebec presented
to his family doctor with a three-day history of rhinorrhea,
cough and fever. He had presented to the clinic with these
symptoms on each of the two previous days and was sent
home with a diagnosis of viral upper respiratory tract infection.
His appetite had decreased, he was described as 'cranky'
and he had vomited once. There were no ill contacts. He had
been a healthy child apart from some gastroesophageal reflux,
for which he was taking domperidone and ranitidine.
Case 2: Rash and allegations of neglect
A 16-month-old boy with an extensive rash was brought to
the emergency department by his mother's boyfriend. This
person had left the household 1.5 months earlier and had
not seen the child since his departure; he was shocked on
his return to discover an extensive rash on the young boy.
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