Approach to household substance exposure (pediatrics) Quiz: Ace Your Exams
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A 3-month-old boy is brought to the emergency department on a cold winter night for evaluation of colicky behavior. The parent reports the infant has been increasingly fussy over the past 24 hours with decreased feeding. There is no history of fever, cough, congestion, nausea, or vomiting. The infant was born full term without complications during pregnancy or delivery and has been meeting developmental milestones. The parent reports that the patient’s mother and older sibling are currently at home with a headache and nausea. Temperature is 36.7°C (98.1°F), heart rate is 170/min, blood pressure is 90/40 mmHg, respiratory rate is 40/min, and oxygen saturation is 99% on room air. On examination, the infant appears fatigued but is arousable with tactile stimulation. Cardiopulmonary and abdominal examinations are normal. Point-of-care blood glucose testing is within normal limits. Which of the following is the most likely diagnosis?
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