A 4 year old child presented with a progressive history of nausea, vomiting, headache, and vision abnormalities over 6 weeks. Most symptoms are worse in the morning or late at nigh... A 4 year old child presented with a progressive history of nausea, vomiting, headache, and vision abnormalities over 6 weeks. Most symptoms are worse in the morning or late at night and improve with walking around. What is the appropriate test for diagnosis? A- MRI brain B- EEG C- Abdominal US D- Muscle biopsy and EMG
Understand the Problem
The question is asking for the most suitable diagnostic test for a 4-year-old child exhibiting symptoms such as nausea, vomiting, headache, and vision abnormalities over a six-week period. These symptoms are particularly worse in the morning or late at night and improve with movement. The focus is on identifying the right diagnostic approach based on the presented symptoms.
Answer
An MRI of the brain is the most appropriate test.
An MRI of the brain is the most appropriate test to diagnose the cause of the symptoms described.
Answer for screen readers
An MRI of the brain is the most appropriate test to diagnose the cause of the symptoms described.
More Information
The symptoms of progressive nausea, vomiting, headache, and vision abnormalities, especially with worsening in the morning or late at night, suggest potential intracranial causes, such as a brain tumor. An MRI provides detailed images of the brain, helping in the diagnosis.
Tips
A common mistake is not considering intracranial causes leading to the underutilization of brain imaging. Headache with morning symptoms often points to increased intracranial pressure.
Sources
- Management of Childhood Headache in the Emergency Department - pmc.ncbi.nlm.nih.gov
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