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OBAMASend an Instant Message to OBAMA  




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Quick Scroll 03.19.08 (9 months ago) #11
perform a retinoscopic examination.
(shaken baby syndrome)
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Quick Scroll 03.19.08 (9 months ago) #12
B. Perform a retinoscopic examination
child abuse must excluded first
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Quick Scroll Re: infant with seizures 03.19.08 (9 months ago) #13
sai06 wrote:
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 CT scan
B. Perform a retinoscopic examination
C. Check serum levels of ammonia
D. Administer intravenous benzodiazepines
E. Perform a lumbar puncture



I agree that in this case we should R/o shaken baby synd.
but have a q . if the child is in tonic clonic seizure in the office will u consider ttt of the attack ? #d iv benzo?
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Quick Scroll 03.27.08 (9 months ago) #14
agree with doctormoony, the baby is burning his neurones, the priority is to stop the seizures
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Quick Scroll 05.03.08 (8 months ago) #15
so guys whats final ans iam leaning to D as well
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Quick Scroll 05.03.08 (8 months ago) #16
have a q for ophthalmologist may be ..
is it possible to do fundal exam @ this age ..can this baby fix his eyes so u can examine his fudus ..
sorry no peads experience...!
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