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Unilateral fixed dilated pupil in a well child
  1. T Brodie,
  2. S Adalat
  1. Birmingham Heartlands Hospital, Birmingham, UK
  1. Correspondence to:
    T Brodie
    59 Northfield Road, Harborne, Birmingham B17 0ST, UK; tristanbrodie{at}

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A 19-month-old boy attended the paediatric assessment unit with asymmetrical pupils. This had first been noticed 8 h previously. The boy had asthma for which he was prescribed both salbutamol and ipratropium bromide inhalers, which were given via a spacer and facemask. That morning, inhaler administration had been difficult, as his mother’s attempts to deliver …

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