RT Journal
A1 Katz KR, Emmens RW, Wood BP
T1 RAdiological case of the month
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1989
FD August 1
VO 143
IS 8
SP 961
OP 962
DO 10.1001/archpedi.1989.02150200121030
UL http://dx.doi.org/10.1001/archpedi.1989.02150200121030
AB A 4-year-old black boy was referred to the emergency department for evaluation of acute dehydration. He had been in good health until 6 months earlier, when he began to eat smaller portions of food and was noted to spit food out and hide it in the furniture. He tolerated liquids well, but often became teary-eyed while attempting to eat. There was a recent history of progressive drooling and nasal congestion. On admission he was afebrile and had diminished skin turgor. His weight was below the third percentile, although he had been in the 40th percentile 9 months earlier. A urinalysis showed specific gravity of 1.032 and trace ketones. The serum electrolyte level was in the normal range. His hematocrit was 0.36, and the white blood cell count was 11.4 × 109/L, with a differential cell count of 0.29 segmented neutrophils, 0.03 band cells, and 0.53 lymphocytes. The results