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Posted (edited)

I have to agree that zzyzx's Dx of sepsis sounds like the most appropriate:

- fever, flushed dry skin

- pulmonary edema

- altered LOC, apneic spells- due to increased ICP from cerebral edema?

- Bulging Eyes- occular edema

I would also be keeping a high level of suspician for menningitis.

Edited by HellsBells
Posted

If it was increased ICP causing the exopthalmos then the fontanels should have been bulging or at least full. Usually raised ICP shouldn't affect the eyes unless there was some kind of defect or skull fracture that allowed fluid to communicate from the skull cavity into the orbital cavity.

The 2 most likely diagnoses on my list are meningitis or NAT (non-accidental trauma) if you ignore the exopthalmos. He could have hydrocephalus but doesn't match either if the fontanel wasn't really full or bulging.


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