Article Text

Download PDFPDF
When the penny dropped…
  1. Andy Hall1,
  2. Neal Russell2
  1. 1Department of Otolaryngology, Queens Hospital, Romford, Essex, UK
  2. 2Department of Emergency Medicine, Queens Hospital, Romford, Essex, UK
  1. Correspondence to Andy Hall, Department of Otolaryngology, Queens Hospital, Rom Valley Way, Romford, Essex RM7 0AG, UK; Andyhall07{at}

Statistics from

A 4-year-old girl attended the emergency department (ED) vomiting undigested food with associated weight loss. She had attended ED twice over 3 months but was discharged after tolerating oral fluid challenges. Subsequently she was awaiting an outpatient paediatric appointment for investigation of possible reflux disease.

On examination she was severely wasted, weighing 10.4 kg, below the …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.