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Old 04-17-2011
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Kids Few weeks old crying baby

One morning, a few weeks-old boy was presented to ER with crying episodes. He appears well, afebrile with stable vital signs. He is crying non-stop. Vital signs are stable and he is afebrile. Systemic examination did not reveal any obvious abnormality, and both testicles are in the scrotum. What is the most possible aetiology?



A. Corneal abrasion
B.
Intussusception
C.
Pinworm infection
D.
Proteinuria
E.
Urinary tract infection
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Old 04-17-2011
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A. Corneal abrasion
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Old 04-17-2011
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All the options can be correct (except proteinuria)
Intussusception is less likely at this early age, otherwise I would have picked it.

UTI is also a common cause.

Please tell us the answer
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Old 04-17-2011
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Thanks guys!

Yes. Corneal abrasion.

I suppose the baby with all given conditions can present with non-stop crying. But "looking well" "afebrile" exclude B, D and E, leaving corneal abrasion and pinworm infection. I thought it was pinworm infection.

Noothan, why did you pick corneal lesion? Do you mind to explain?
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Old 04-17-2011
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Yeah the options were btw corneal abrasion and pinworm infection

But chose corneal abrasion Coz

Probability of Cornaeal abrasion at that age is higher plus it wont show any other symptoms if its superficial .
if pinworm ,redness or dryness in the anal area & diarrhea sometimes and more crying in night time

Last edited by noothan; 04-17-2011 at 12:23 PM. Reason: error
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Old 04-17-2011
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well cornea does nt have nerve supply then how can child sensitive to cornea and crying??pls explain it......
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Old 04-17-2011
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hey doesnt opthalmic div. Of trigeminal nerve supply it ?? and i thot it is one of the most sensitive area ??
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Old 04-18-2011
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to my knowledge................UTI would be d best option......
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Old 04-18-2011
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Quote:
Originally Posted by noothan View Post
hey doesnt opthalmic div. Of trigeminal nerve supply it ?? and i thot it is one of the most sensitive area ??
hey thnks..there was sleep of mind ..i know cornea is avascular stucture so no blood supply but cornea has reach nerve supply.....thnks noothan
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Old 04-21-2011
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yeah def corneal abrasion. UTI would not cause NON stop crying. only when urinating. proteinuria out of the options. intussuseption will have black jerry currant stools and sudden abdominal distention witin 2 -3 days. but corneal abrasion, the poor baby has an irritated eye (like we do sometimes) but here no one knows and is helping him.
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oh n pinworn infection would cause anemia or at the very least the infection to cause abdomincal distress would've taken weeks - months tht now he'd have a distended abdomen. he's too young to have pinworm infection!.
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