MedBugs: SAQ #413

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Case: Toddler hypoglycaemia and possible ingestion

A 2-year-old child, Rosie, is brought to your department by her parents. She has been well during the day except for a couple of episodes of vomiting. Over the last few hours, the child has become increasingly lethargic and is now drowsy but rouses to voice. Her observations on arrival to the ED are: T 37.5 HR 120 BP 90/65 Sats 97% RA BSL 2.1

1. State your differential diagnoses for this child. 3 marks

2. What is your immediate treatment? 1 mark

Rosie’s older sister now states that she saw Rosie “take a tablet off the floor and eat it”

3. Fill out the table of drugs with potential for severe toxicity if one tablet is ingested by a small child. 8 marks

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Case: Toddler hypoglycaemia and possible ingestion

1. State your differential diagnoses for this child. 3 marks

2. What is your immediate treatment? 1 mark

3. Fill out the table of drugs with potential for severe toxicity if one tablet is ingested by a small child. 8 marks

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