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4.28 A 3-month-old boy is broughtfor a well-child examination He has poor head control Examination shows generalized hypotoma The point of maximal impulse is at the left anterior axillary line The liver edge is palpated 4 cm below the right costal margin The spleen is not palpable Which of the following is the most likely diagnosis?
A) Congenital muscular dystrophy
B) Glycogen storage disease, type II (Pompe's disease)
C) GM 1 Gangliosidosis
D) Infant botulism O
E) Ventricular septal defect
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if e please explain,b possible, cardiomegaly,pompe fpr pump
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in glycogen sot dis.. u ll have spleeno and hepato megaly
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though not sure,., ll look into it
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i also think pompe's disease. generalized hypotonia, heart is weak. hepatomegaly like storage disorder. it is pompes disease.
u can eliminate last two by history alone not boutilism no honey history and no anticholinergic effect too. and definitely not vsd.
for taysachs u have GM2 gangliosidosis so GM1 is something else but that wont present like it
congenital muscular hypotonia does not present with heart muscle weakness. they present with proximal muscle weakness.
