This month’s Diagnostic Dilemmas and Clinical Reasoning case from Beinvogl et al. (peds.2015-1896) is one in which the initial presentation is similar to cases that you and I probably see on a weekly basis. At what point, however, does our thinking change from “wait and see” to “something isn’t right,” and you embark on a workup?
This month’s case is a fascinating one, and definitely one that will exercise your knowledge base as you generate a differential diagnosis in your mind and consider what your workup would be at each step. This case will also remind you that knowing how to localize a potential neurologic lesion can be helpful in narrowing down your diagnostic possibilities.