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Infant with irritability, feeding problems, and progressive developmental abnormalities presenting repeatedly to a
R Chabali1, W M Matre, M K Greene
1Department of Pediatrics, Wright State University School of Medicine, Dayton, Ohio, USA.
Insights
Diagnostically elusive pediatric cases require careful evaluation of symptom progression and developmental history. Emergency department assessments can guide admission and diagnostic workup for complex infant illnesses.
Area of Science:
- Pediatrics
- Emergency Medicine
- Diagnostic Challenges
Background:
- Emergency physicians frequently encounter challenging cases with unclear diagnoses.
- Infants may present with chronic, recurring symptoms initially appearing common.
Abstract:
Emergency physicians often deal with diagnostically elusive cases that may present repeatedly over the course of illness. The infant presented here had a chronic history, prompting multiple physician contacts for initially seemingly common problems. Assessing the patient's progression of symptoms over time and eliciting a brief developmental history in the emergency department (ED) helped guide decision-making toward admission and appropriate diagnostic workup.