Vomiting, diarrhea and stiff neck: What is your call?

Harrison, Megan E.; Vaccani, Jean-Philippe
March 2008
CMAJ: Canadian Medical Association Journal;3/25/2008, Vol. 178 Issue 7, p837
Academic Journal
The article presents a clinical quiz which asks for diagnosis on a young girl that has been experiencing diarrhea, vomiting and stiff neck. It presents the case of a 10-year-old girl that had a 3-day history of vomiting, diarrhea, stiff neck and sore throat. It discusses the initial findings based on the patient's blood pressure, blood composition and lateral radiograph of her neck. The article provides a discussion on the correct diagnosis of spontaneous retropharyngeal emphysema and the corresponding causes of the condition. It also discusses conservative treatment, which includes bed reset, analgesia and therapy with oxygen to increase the resorption of gradient for nitrogen. The article further discusses differential diagnosis and other causes of retropharyngeal emphysema.


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