This would be an impressive diagnosis to make in the surgical out patient department! The combination of abdominal pain and a motor periperal neuropathy, should indicate this diagnosis. The blue line along the gum margin can occur in up to 20% patients with lead poisoning.

Hurthle cell tumours are a variant of follicular neoplasms in which oxyphil cells predominate. They have a poorer prognosis than conventional follicular neoplasms.

- Also known as marble bone disease - Rare disorder of defective osteoclast function resulting in failure of normal bone resorption - Stem cell transplant and interferon-gamma have been used for treatment

Glioblastoma multiforme is rare in childhood. In contrast, astrocytoma is the commonest brain tumour in children. Medulloblastoma is no longer the commonest CNS tumour in children (Cancer research UK)

Premature neonates= Intra ventricular haemorrhage Non accidental injury= Sub dural bleed