USMLE Forum Archives - USMLE Step 3 - Peads: Most appr step?
Peads: Most appr step?
meduploader - 05-23-09 14:37
The parents of a 20-month-old female bring her to your office because she has lost consciousness twice recently. They describe two episodes where the child was crying vigorously then “turned purple and passed out.” The child is an otherwise healthy product of a term delivery. There is no history of head trauma and no family history of seizures or cardiac problems. The episodes are not associated with fever or other symptoms. Physical examination of the child is normal.
Which one of the following would be most appropriate at this point?
meduploader - 05-23-09 14:37
The parents of a 20-month-old female bring her to your office because she has lost consciousness twice recently. They describe two episodes where the child was crying vigorously then “turned purple and passed out.” The child is an otherwise healthy product of a term delivery. There is no history of head trauma and no family history of seizures or cardiac problems. The episodes are not associated with fever or other symptoms. Physical examination of the child is normal.
Which one of the following would be most appropriate at this point?
The correct answer and explanation will be available after you answer.
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#3
Re: Peads: Most appr step? usmlefever3 - 05-24-09 01:29 My answer is: a.
this is a case of breath holding spells in which child cries vigorously and then loses consciousness with cyanosis.management should be aimed at avoiding precipitating factors.
#27
Re: Peads: Most appr step? babbu5508 - 09-30-10 15:42 My answer is: a.
these are just breathholding spells manifested by vigorous crying followed by cyanosis...subside on their own...
#41
Re: Peads: Most appr step? tesbenzon - 07-24-11 05:56 My answer is: a.
the patient is having breath-holding spells
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