peads - dp1278

[ArchivalUser]

The parents of a 20-month-old female bring her to your office because she has lost consciousness twice recently. They describe two episodes where the child was crying vigorously then “turned purple and passed out.” The child is an otherwise healthy product of a term delivery. There is no history of head trauma and no family history of seizures or cardiac problems. The episodes are not associated with fever or other symptoms. Physical examination of the child is normal.
Which one of the following would be most appropriate at this point?
a. Reassurance
b. A CT scan of the brain
c. An EKG and chest radiograph
d. Measurement of serum glucose, electrolytes, and hematocrit
e. Echocardiography

[ArchivalUser]

rule out cyanotic heart diseases

ee.?

[ArchivalUser]

eee

[ArchivalUser]

Aren't they breathing holding spells for which just reassurance needed????????????????

[ArchivalUser]

he is turning purple during vigorous cry only..rest of the time baby is perfectly ok...how can they have cyanotic heart disease?

[ArchivalUser]

Not at that age.....

[ArchivalUser]

ok

[ArchivalUser]

yep. ans is just reassurance

diagnosis is breath holding spells.

[ArchivalUser]

thanks