03-25-2006, 05:08 AM
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
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