title: From menorrhagia to manometers.
abstract: We present a case that illustrates the challenges in making a unifying diagnosis and bringing together symptoms which, at first, seem unrelated. We aim to illustrate the process of decision-making and the practice of working along several parallel processes to reach a single explanation for a child to present unwell.
authors.affiliation: Birmingham Children's Hospital, Department of General Paediatrics, Steelhouse Lane, Birmingham, B4 6NH, UK.
authors.forename: Kate
authors.initials: K
authors.lastname: Skone
authors.forename: Joe
authors.initials: J
authors.lastname: Abbott
authors.forename: Ian D
authors.initials: ID
authors.lastname: Wacogne
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology; D000086:Acetazolamide / Q000627:therapeutic use; D000293:Adolescent; D000740:Anemia / Q000150:complications / Q000209:etiology; D003298:Coombs Test; D004232:Diuretics / Q000627:therapeutic use; D005221:Fatigue; D005260:Female; D006261:Headache / Q000209:etiology; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D008595:Menorrhagia / Q000209:etiology*; D011559:Pseudotumor Cerebri / Q000175:diagnosis* / Q000628:therapy; D012166:Retinal Hemorrhage / Q000209:etiology; D013129:Spinal Puncture; D013921:Thrombocytopenia / Q000150:complications; D014792:Visual Acuity; D014839:Vomiting
chemical_list: D004232:Diuretics; D006454:Hemoglobins; D000086:Acetazolamide