PANDAS – Sunday Scary
CASE: 7 yr old female (fully vaccinated) came to the ED with sore throat of 3 days duration, sent from school for vomiting and having a full body tremor. Vitals stable, afebrile. On examination she was tremulous without any focal neuro deficits, able to follow commands and speaking in full sentences (all while continuing to shake).Exam positives included: Tremulous throughout examination with distractability (pausing during finger to nose testing) AND erythematous oropharnyx +tonsilar exudates. Tested Rapid Strep +Okay, so this kid had strep pharyngitis but what is
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