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Visual Diagnosis in Emergency Medicine| Volume 43, ISSUE 4, P702-703, October 2012

An Unexpected Cause of Emesis

      A 23-month-old boy presented to a tertiary care Emergency Department with a 2-day history of non-bilious, non-bloody emesis and fever. The child had global developmental delay, obstructive sleep apnea, sensorineural hearing loss, vesicoureteric reflux, and gastroesophageal reflux requiring gastrojejunal (GJ) feeding. He had a mild cough with no rhinitis and no history of diarrhea. There was no history of sick contacts or recent travel. Medications included domperidone, omeprazole, and co-trimoxazole for urinary tract infection prophylaxis.
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