Self-assessment

摘要

A 14-year-old girl presented to A&E with acute abdominal pain and vomiting. Questioning uncovered a history of thirst, polyuria, lethargy and malaise, increasing over the previous few weeks. This had led to her missing several weeks of schooling. One year previously, she had been given a diagnosis of Osgood-Schlatter's disease after presenting with bilateral knee pain. She had improved with physiotherapy but was still troubled by frequent bone pains. She had reached all developmental milestones as expected and had been otherwise well. Her paternal uncle was diabetic, but there was no other family history of note. On examination, this was a slim girl who appeared mildly dehydrated. Her abdomen was soft and non-tender with normal bowel sounds and no masses. She was afebrile, and there were no other relevant findings.