Article |

Radiological Case of the Month

Dennis R. Durbin, MD; Beverly P. Wood, MD
Am J Dis Child. 1992;146(6):765-766. doi:10.1001/archpedi.1992.02160180125031.
Text Size: A A A
Published online

An 18-month-old, previously healthy boy presented to the emergency department with progressive lethargy and protracted emesis approximately 18 hours after ingestion of an unknown medication.

His mother had seen pills in his hands the previous night, but thinking the medication was harmless, did not seek medical attention. The child was asymptomatic at that time. He awoke 8 hours before admission with emesis and nonbloody diarrhea and became progressively lethargic. Pills and pill fragments were in his stool.

On physical examination, he was afebrile and had a pulse of 122 beats per minute. His respiratory rate was 32 breaths per minute. Blood pressure was 108/69 mm Hg. He was lethargic, but could be aroused, and had cool extremities. Examination of the abdomen revealed active bowel sounds and diffuse tenderness to palpation. Results of a test to detect occult blood in stool were negative. Except for changes in mental status, results of


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.