Infant with irritability, feeding problems, and progressive developmental abnormalities presenting repeatedly to a pediatric emergency department.
Emergency physicians often deal with diagnostically elusive cases that may present repeatedly over the course of illness. The infant presented here had a chronic history, prompting multiple physician contacts for initially seemingly common problems. Assessing the patient's progression of symptoms over time and eliciting a brief developmental history in the emergency department (ED) helped guide decision-making toward admission and appropriate diagnostic workup.
Chabali
R
R
Department of Pediatrics, Wright State University School of Medicine, Dayton, Ohio, USA.
Matre
W M
WM
Greene
M K
MK
D002657:Child Development; D002658:Developmental Disabilities / Q000209:etiology*; D004636:Emergency Service, Hospital; D001068:Feeding and Eating Disorders / Q000209:etiology; D005260:Female; D006801:Humans; D007223:Infant; D007508:Irritable Mood; D007965:Leukodystrophy, Globoid Cell / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology; D008487:Medical History Taking; D010372:Pediatrics