A 1-month-old male infant was brought to the emergency department with complaints of unusual drowsiness for two weeks and vomiting several times over the last week. Patient History Child’s father mentions to you that he had accidentally dropped the infant in his bed a week ago. The infant is breastfed 10–12 times a day but falls asleep during feeds. The mother needs to wake him up for feedings. Passed meconium Opening bowels regularly 5–6 wet nappies a day No immunizations yet Family History Nil Social history Both parents are currently unemployed.
The mother drinks 5–10 units of alcohol a week. The father drinks 10 to 15 units a week of alcohol and occasionally smokes cannabis. Clinical & Physical Examination Vital signs are within normal limits. Weight: 3.8kg, Length: 54cm, Head circumference: 38cm Very difficult to elicit spontaneous eye-opening Extraocular movements were not…
