Kids are fun, so they said
Around 7 this morning, while waiting for my overnight shift to over, i had a 6 years old came to the ER. His mom said that his son has fever and sorethroat. He wasn't consistenly in high fever, sometime he cools down and at some time during the day, he will has higher temperature. Anyway, that was not the thing that cause his mommy brought him to the ER. The kid can't walk (or refuse to walk, whichever) for two days. He always said that his legs feels weak and he can't stand up. At first i thought he was being spoilt and all, and i tried (nicely) to make him walk. I held him on the armpits while he tried to stand up, and when i let go, he fell. he said he can't step his sole on the ground because he can't feel anything. In my second attempt, i helped him stand up again, and when i let go, he stand up, with his toe and looked very unbalanced.
There was no record suggesting electrolyte loss, there was no history of the same acute limb weakness before and he had perfect immunization record. With his history of flu and sorethroat before the developing weakness, i jump into conclusion that this kind might have early phase of GBS. I had patients with GBS before, and it always start with limb weakness ascending to thighs, and to, diaphragm muscle. It's life threatening, So i was a little concerned. I ordered him CBC and electrolyte lab exam anyway, since there was also a possibility he had somekind of renal disease.
And this is the fun part. I took him with stroller to the laboratory (seriously, i was concerned with this kid) and when my analyst held the syringe up, he damned 6 years old jump off his stroller and run. RUN. with his legs, hiding behind the door. Standing stable with his sole on the ground. He left me, his parents, and my analyst standing there, stunned.
And this is the story how a 6 years old successfully trolled four grown-ups.
There was no record suggesting electrolyte loss, there was no history of the same acute limb weakness before and he had perfect immunization record. With his history of flu and sorethroat before the developing weakness, i jump into conclusion that this kind might have early phase of GBS. I had patients with GBS before, and it always start with limb weakness ascending to thighs, and to, diaphragm muscle. It's life threatening, So i was a little concerned. I ordered him CBC and electrolyte lab exam anyway, since there was also a possibility he had somekind of renal disease.
And this is the fun part. I took him with stroller to the laboratory (seriously, i was concerned with this kid) and when my analyst held the syringe up, he damned 6 years old jump off his stroller and run. RUN. with his legs, hiding behind the door. Standing stable with his sole on the ground. He left me, his parents, and my analyst standing there, stunned.
And this is the story how a 6 years old successfully trolled four grown-ups.