 |  increased lethargy and irritability
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| Author | 5 Posts |
webjeee
Forum Guru
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6) A 3-month old infant is brought to a pediatrician's office because of increased lethargy and irritability. The parents state that the child rolled off the couch and fell on the floor one day prior to presentation. His parents report that the child has been previously healthy and is up to date on his vaccinations. He has been meeting his development milestones. His fontanelles are full. While in office the patient develops a tonic clonic seizure. Which of the following is the next appropriate step?
A. Obtain a head computerized tomography scan
B. Perform a retinoscopic examination
C. Check serum levels of ammonia
D. Administer intravenous benzodiazepines
E. Perform a lumbar puncture
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| robin082006
Forum Hero
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B
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The Key to Succeed is Patience.
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| sarika
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yup B
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| webjeee
Forum Guru
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great.
Child abuse, Shaken baby, probably.
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| prathapdoctor
Forum Elite
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yeah,we have to suspect child abuse because the child of 3 months age can not roll on its own,so we have to go for retinal examination.
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