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  #1  
Old 10-10-2013
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Pediatrics 10 months old infant with seizure

i think it is a challenging question for those who have not seen it before
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Old 10-10-2013
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b) check electrolytes and blood glucose.
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Imaging, they hint abut "constant discipline", besides according to the findings, you may need to act urgently. Then the labs, and of course a secondary assessment in his physical examination. In real life you do everything involved t the same time, good luck with your fundoscopy if the baby is seizing
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yea skipped out on that part...cud be abuse...subdural hematoma...
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Old 10-10-2013
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I think to make eye exam will be correct, in order to find retinal hemorrhages. "Discipline 10 month old child" sounds like abuse to me...
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fundoscopy is the answer, also it will help u see papilledema

no family history of seizure don't do eeg

lumber puncture contraindicated in a confused person

glucose and electrolytes can not be abnormal based on the history

where did u get the question
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Its from Kaplan qb
Yep Shaken-Baby syndrome
fundoscopic exam is the first followed by CT
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Old 10-11-2013
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Quote:
Originally Posted by MedicalExaminer View Post
Its from Kaplan qb
Yep Shaken-Baby syndrome
fundoscopic exam is the first followed by CT
missed this Q dude.
explanation said exams first, tests after. whatever.. challenging Q really.
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Old 10-23-2013
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about this q...
agreed u shud suspect abuse in this q's but shouldn't u rule out other causes before suspecting abuse?
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Old 10-23-2013
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Quote:
Originally Posted by drsrb View Post
about this q...
agreed u shud suspect abuse in this q's but shouldn't u rule out other causes before suspecting abuse?
what would be ur approach ?
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Old 10-23-2013
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i would go for b first...check electrolytes and blood sugar and all...
history points to abuse...she disciplines the child..maybe she is not feeding him as well [as a punishment]...so i guess this could be the cause too..
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Old 10-27-2013
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Quote:
Originally Posted by drsrb View Post
i would go for b first...check electrolytes and blood sugar and all...
history points to abuse...she disciplines the child..maybe she is not feeding him as well [as a punishment]...so i guess this could be the cause too..
If she isn't feeding him well then he would present with malnutrition or something. Not with signs n symptoms of increased ICP. Plus, not feeding the baby would only make him cry more and get the mom more frustrated. So, checking for abuse with fundoscopy still seems a better answer.
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