Approach to aneuploidies and microdeletions Quiz: Ace Your Exams
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A 4-year-old boy presents to the emergency department for evaluation of generalized tonic-clonic seizures. There is no history of headache, lethargy, vomiting, fever, rash, or previous seizures. Developmental milestones are delayed. The patient has a history of multiple prior admissions for pneumonia. Birth and family history are non-contributory. Temperature is 37°C (98.6°F), pulse is 90/min, respirations are 25/min, blood pressure is 92/46 mmHg, and oxygen saturation is 99% on room air. Flexion of the wrist and thumb with the extension of the fingers is noted with application of the sphygmomanometer. Physical examination reveals coarse facial features with a long face, small ears, and decreased ear creases. The patient’s voice sounds hypernasal. No neck stiffness is noted, and neurological exam is unremarkable. Laboratory studies are pending. Which of the following is the best next step in management following seizure control?
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