11-28-2007, 09:29 AM
A 3-month-old boy is brought for a well-child examination. He has
poor head control. Examination shows generalized hypotonia. 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
) GM1 gangliosidosis
D
) Infant botulism
E
) Ventricular septal defect
poor head control. Examination shows generalized hypotonia. 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
) GM1 gangliosidosis
D
) Infant botulism
E
) Ventricular septal defect