Index of suspicion. Case 1: Persistent fever and cough following episodes of emesis in a 7-year-old girl. Case 2: Blurry vision and unilateral dilated pupil in a 14-year-old girl. Case 3: Swelling, pain, and erythema of the thumb in a 10-year-old girl with habits of nail biting and thumb sucking.

Eric Balighian; Sanjeev Y Tuli; Sonal S Tuli; Christian Castillo; Elizabeth Carre?o; Yuly Carreras; Catalina Mari?o; Magda Mendez

首页> 外文期刊>Pediatrics in review >Index of suspicion. Case 1: Persistent fever and cough following episodes of emesis in a 7-year-old girl. Case 2: Blurry vision and unilateral dilated pupil in a 14-year-old girl. Case 3: Swelling, pain, and erythema of the thumb in a 10-year-old girl with habits of nail biting and thumb sucking.

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Index of suspicion. Case 1: Persistent fever and cough following episodes of emesis in a 7-year-old girl. Case 2: Blurry vision and unilateral dilated pupil in a 14-year-old girl. Case 3: Swelling, pain, and erythema of the thumb in a 10-year-old girl with habits of nail biting and thumb sucking.

机译：怀疑指数。案例1：一名7岁女孩呕吐后持续发烧和咳嗽。案例2：一名14岁女孩的视力模糊且单眼散瞳。案例3：一个习惯于指甲咬和拇指吮吸的10岁女孩的拇指肿胀，疼痛和红斑。

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A 7-year-old girl presents to the emergency department with persistent fever and cough for 9 days. She was in her usual state of good health until she vomited twice 11 days earlier. She subsequently developed cough and fever, prompting three visits to an urgent care center in the preceding 9 days. She denies shortness of breath, chest pain, diarrhea, rash, urinary symptoms, or sore throat. A chest radiograph on the fourth day of fever was normal.Physical examination reveals a temperature of 102.9degF, heart rate of 115 beats per minute, respiratory rate of 28 breaths per minute, blood pressure of 110/65 mm Hg, and pulse oximetry reading of 98% in room air. Generally, she appears well, with occasional coughing during the visit. On respiratory examination, there is good air movement bilaterally, and no rales or wheezes are heard.

机译：一名7岁女孩因持续发烧和咳嗽而出现在急诊科，持续了9天。她一直处于健康状态，直到11天前呕吐两次。随后，她出现了咳嗽和发烧，促使她在前9天中有3次去急诊中心就诊。她否认呼吸急促，胸痛，腹泻，皮疹，泌尿系统症状或喉咙痛。发烧第四天的胸部X光片正常，体格检查发现体温为102.9华氏度，心率每分钟115次，呼吸率每分钟28次，血压为110/65毫米汞柱，脉搏血氧饱和度读数室内空气的98％。通常，她看起来很好，在探视过程中偶尔会咳嗽。进行呼吸检查时，双边有良好的空气流通，没有听到罗音或喘鸣声。

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《Pediatrics in review》 |2012年第1期|共6页
作者
Eric Balighian; Sanjeev Y Tuli; Sonal S Tuli; Christian Castillo; Elizabeth Carre?o; Yuly Carreras; Catalina Mari?o; Magda Mendez;
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1. Index of suspicion. Case 1: Persistent fever and cough following episodes of emesis in a 7-year-old girl. Case 2: Blurry vision and unilateral dilated pupil in a 14-year-old girl. Case 3: Swelling, pain, and erythema of the thumb in a 10-year-old girl with habits of nail biting and thumb sucking. [J] . Eric Balighian, Sanjeev Y Tuli, Sonal S Tuli, Pediatrics in review . 2012,第1期

机译：怀疑指数。案例1：一名7岁女孩呕吐后持续发烧和咳嗽。案例2：一名14岁女孩的视力模糊且单眼散瞳。案例3：一个习惯于指甲咬和拇指吮吸的10岁女孩的拇指肿胀，疼痛和红斑。
2. Index of suspicion: Case 1: Abdominal trauma, pain, and tenderness associated with anemia and hematuria in a 14-year-old boy. Case 2: Ptosis, diplopia, tremors, and mild exophthalmos in a 9-year-old girl. Case 3: Persistent cough, shortness of breath, and localized decreased aeration in an 18-year-old girl. [J] . Ganick DJ, Henrikson KJ, Federly T, Pediatrics in review . 2011,第11期

机译：可疑指数：病例1：一名14岁男孩的腹部创伤，疼痛和与贫血和血尿有关的压痛。案例2：一名9岁女孩的眼睑下垂，复视，震颤和轻度眼球突出。情况3：一名18岁女孩的持续咳嗽，呼吸急促和局部减气。

Index of suspicion. Case 1: Persistent fever and cough following episodes of emesis in a 7-year-old girl. Case 2: Blurry vision and unilateral dilated pupil in a 14-year-old girl. Case 3: Swelling, pain, and erythema of the thumb in a 10-year-old girl with habits of nail biting and thumb sucking.

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