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From menorrhagia to manometers
  1. Kate Skone1,
  2. Joe Abbott2,
  3. Ian D Wacogne1
  1. 1Department of General Paediatrics, Birmingham Children's Hospital, Birmingham, UK
  2. 2Department of Opthalmology, Birmingham Children's Hospital, Birmingham, UK
  1. Correspondence to Ian D Wacogne, Birmingham Children's Hospital, General Paediatrics, Steelhouse Lane, Birmingham, B4 6NH, UK; ian.wacogne{at}


We present a case that illustrates the challenges in making a unifying diagnosis and bringing together symptoms which, at first, seem unrelated. We aim to illustrate the process of decision-making and the practice of working along several parallel processes to reach a single explanation for a child to present unwell.

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Commissioned; externally peer reviewed.