A 2-week-old baby is brought to the clinic by the mother. She is concerned that her baby has appetite, only passes stool once in 48 h and is always very sleepy and sluggish. On phy... A 2-week-old baby is brought to the clinic by the mother. She is concerned that her baby has appetite, only passes stool once in 48 h and is always very sleepy and sluggish. On physical examination, the child has a distended abdomen with an umbilical hernia and is mildly jaundiced. Which of the following is the most appropriate next step in investigation?
Understand the Problem
The question describes a scenario in which a 2-week-old baby is brought to the clinic with symptoms such as infrequent stools, sleepiness, a distended abdomen, an umbilical hernia, and mild jaundice. We need to determine the most appropriate next step in investigation to diagnose the underlying cause of these symptoms.
Answer
Neonatal metabolic screen
The most appropriate next step in investigation is a Neonatal metabolic screen
Answer for screen readers
The most appropriate next step in investigation is a Neonatal metabolic screen
More Information
The baby's symptoms are indicative of a metabolic disorder
Tips
Always consider all the symptoms when deciding the next best step.
Sources
- Question Sets and Answers - PMC - PubMed Central - pmc.ncbi.nlm.nih.gov
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