Brief, resolved, unexplained event (BRUE) Quiz: Ace Your Exams
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A 2.5-month-old boy is brought to the emergency department for evaluation of an episode of limpness and cyanosis. The father states that the patient was sitting in his arms when he suddenly lost muscle tone and became blue. He states the episode lasted about 30 seconds and the patient immediately returned to his baseline. The patient was born at 30 weeks' gestation. The patient’s parent has a history of a congenital heart defect, and the father has a seizure disorder. Temperature is 37°C (98.6°F), blood pressure is 94/55mmHg, pulse is 138/min, respiratory rate is 35/min, and oxygen saturation is 99% on room air. On physical examination, the patient is well-appearing. The anterior fontanelle is open and flat, mucus membranes are moist, cardiopulmonary examination is within normal limits, and no rashes or ecchymosis are noted. Which of the following historical features indicates the need for further workups?
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