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You receive a prealert call from a paramedic team stating they are managing a 12-year-old girl with acute left-sided weakness. As you prepare for the patient’s arrival, you go through a list of potential differentials.
Which of the following is not part of the differential list?
What is the recommended time to CT following this type of presentation to the emergency department?
The time to CT is only applicable to adult patients.
The family report intermittent frontal headaches and vomiting for a week, with fever >38°C Celsius. She is noted to be alert with no concerns with airway, breathing or circulation. She is communicating in short sentences. Observations are within normal parameters. Blood sugar 7 mmol/L. Glasgow Coma Scale 14/15.
She had profound left-sided weakness including neglect.
You have been …
Contributors SM and DCM sharing responsibility for development of manuscript, article content and educational approach. NC provided imaging and corresponding labelling of salient abnormalities.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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