need advice for this pediatrics 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 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 ??



CTSCAN abdomen Urine metanephrines


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