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  • strict warning: Only variables should be passed by reference in /var/www/html/prod-lijed/sites/all/themes/lij/node-visual_stim.tpl.php on line 8.
  • strict warning: Non-static method view::load() should not be called statically in /var/www/html/prod-lijed/sites/all/modules/views/views.module on line 823.
  • strict warning: Declaration of views_plugin_display::options_validate() should be compatible with views_plugin::options_validate(&$form, &$form_state) in /var/www/html/prod-lijed/sites/all/modules/views/plugins/views_plugin_display.inc on line 1684.
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  • strict warning: Declaration of views_handler_field_broken::ui_name() should be compatible with views_handler::ui_name($short = false) in /var/www/html/prod-lijed/sites/all/modules/views/handlers/views_handler_field.inc on line 243.
  • strict warning: Declaration of content_handler_field::options() should be compatible with views_object::options() in /var/www/html/prod-lijed/sites/all/modules/cck/includes/views/handlers/content_handler_field.inc on line 170.
  • strict warning: Declaration of views_handler_sort_broken::ui_name() should be compatible with views_handler::ui_name($short = false) in /var/www/html/prod-lijed/sites/all/modules/views/handlers/views_handler_sort.inc on line 82.
  • strict warning: Declaration of views_handler_filter::options_validate() should be compatible with views_handler::options_validate($form, &$form_state) in /var/www/html/prod-lijed/sites/all/modules/views/handlers/views_handler_filter.inc on line 584.
  • strict warning: Declaration of views_handler_filter::options_submit() should be compatible with views_handler::options_submit($form, &$form_state) in /var/www/html/prod-lijed/sites/all/modules/views/handlers/views_handler_filter.inc on line 584.
  • strict warning: Declaration of views_handler_filter_broken::ui_name() should be compatible with views_handler::ui_name($short = false) in /var/www/html/prod-lijed/sites/all/modules/views/handlers/views_handler_filter.inc on line 608.
  • strict warning: Declaration of views_plugin_style_default::options() should be compatible with views_object::options() in /var/www/html/prod-lijed/sites/all/modules/views/plugins/views_plugin_style_default.inc on line 25.
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  • strict warning: Declaration of views_plugin_row::options_submit() should be compatible with views_plugin::options_submit(&$form, &$form_state) in /var/www/html/prod-lijed/sites/all/modules/views/plugins/views_plugin_row.inc on line 61.
  • strict warning: Non-static method view::load() should not be called statically in /var/www/html/prod-lijed/sites/all/modules/views/views.module on line 823.
  • strict warning: Non-static method view::load() should not be called statically in /var/www/html/prod-lijed/sites/all/modules/views/views.module on line 823.
Posted on 02/12/2010

 An 8 year old female patient presents to the ED brought in by the mother who claims that the patient had been complaining of a sore throat for the past 3 days. Today she developed a fever and refused to eat. The child is tired and sleepy in triage, and is noted to be drooling. The patient refuses to open her mouth for a temperature. Her vitals are: Tr:103, HR:130, R:30, POX 100%. You note her to be sleepy but arousable, consolable by mother, and confirm that she is drooling. On pharyngeal exam, the patient refuses to open her mouth, you palpate fullness of the neck with right sided torticollis, anterior cervical LAD, note rhinorrhea, and mild stridor. Without further upsetting the child you smartly get a lateral soft tissue of the neck. What is your diagnosis? What is your next steps in managing this patient?

 

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