Dr. Kamlesh Verma (Pediatrics) needs a second opinion on this medical case.
10 Y/M came in OPD with C/O-
- off n on headche , nausea, dizziness, palpitation, wake up in night n get scared, for last one year. Consulted with many doctors.
- for refractory error right eye +0.5, left +1.5, using Spect for last 6 months. Under treatment for Amblyopia 4 hours per day left eye patching for last one month.
No past history of ear discharge, perinatal history normal, family environment good. Hav 5 year old healthy sister.
No family history of HT DM TB psychological desorder.
O/E- HR 130, RR 28, BP 100/60. Afebrile, wt 25 kg. Hight 133cms, chest clear. Throat ear NAD. No murmer.no hepatosplenomegaly.
Available reports- Hb 13. CECT head NAD. ECG sinus tachycardia. FBS 80. Urine RM normal. Stool-R M normal.
I have advised parents to revisit with complete previous record.
Pls suggest what to do next ??