1) My differential diagnosis would include all of the above listed,
and I'd like to add Hirschprung's Disease likely showing my ignorac by
asking if Cystic Fibrosis could be causing his symptoms, and his childhood
asthma was in fact recurrent chest infections?
2) I would have asked the on call physician to admit him for
rehydration in the first instance
3) Genetic Screening for CF and a full thickness rectal biopsy to
exclude Hirschprung's
4) I'd tell Mr Neville (and his mum, if he consented to it) that he
has a complex set of symptoms which we have yet to find a cause for. List
the management plan, and as a previous responder said, suggest that we may
never get a diagnosis, but his symptoms can be ameliorated with
pharmacological and possiblt surgical means.
Rapid Response:
A Genetic Disorder?
1) My differential diagnosis would include all of the above listed,
and I'd like to add Hirschprung's Disease likely showing my ignorac by
asking if Cystic Fibrosis could be causing his symptoms, and his childhood
asthma was in fact recurrent chest infections?
2) I would have asked the on call physician to admit him for
rehydration in the first instance
3) Genetic Screening for CF and a full thickness rectal biopsy to
exclude Hirschprung's
4) I'd tell Mr Neville (and his mum, if he consented to it) that he
has a complex set of symptoms which we have yet to find a cause for. List
the management plan, and as a previous responder said, suggest that we may
never get a diagnosis, but his symptoms can be ameliorated with
pharmacological and possiblt surgical means.
Competing interests:
None declared
Competing interests: No competing interests