PedsQ - lavoix

[ArchivalUser]

A 3-week-old African American boy is brought to the Emergency Department because of a generalized seizure 2 hours ago. The infant is highly irritable with incessant high pitched crying. The infant's weight is 2.5 kg (250 gm below birth weight), blood pressure is 70 /40 mm Hg, pulse is 145/min and respirations are 50/min. Laboratory results show: Blood glucose 120 mg/dL
Urea nitrogen 50 mg/dL
Serum sodium 170 mEq/L
Serum calcium 8.5 mg/dL
Serum magnesium 1.5 mg/dL
Which of the following is the most likely cause of this infants seizure?
A. Hypocalcemia
B. Hypoglycemia
C. Hypomagnesemia
D. Intracranial hemorrhage
E. Meningitis

[ArchivalUser]

I am guessing C.(I dont know normal level, but it does not look the other choices).

[ArchivalUser]

corecto c

[ArchivalUser]

1.5-2 is normal Mg.
i guess interventricular h.mmage.(low birth baby)

[ArchivalUser]

D. intercranial hemorrhage is evident in low birth weight and premature babies. This can a possible cause of the seizure. Alibism

[ArchivalUser]

answer is D

[ArchivalUser]

I THOUGHT HYPOMAGNESIMIA AND COULDNOT LIVE THE CHOICE/SOMETIMES WE JUMP TO OUR CONCLUSION.

INTRAVENTRICULA HEMORRAGE MEANS THE CHILD SHOULD HAVE MENINGEAL SIGN FRO M LONG TIME AGO/


BUT LOOKING BACK AGAIN WHEN I SAW HIGH IRRITATION AND CRY THEN I THOUGHT YOU ARE RIGHT ALIBI; MAY BE THE CHILD HAD ALL THE SIGN BUT THESE LITTELE KID DONOTSAY ,WE HAVE TO UNDERSTAND THEM

SO ALIBI KNOWLEDGE IS IMPORTANT--LOW BIRTH WEIGH AND SEIZURRE

THANKS TO ALIBI AND ALIBISM

THANKS TO LAVOIX