3 month old male was presented a chief complaint of decreased activity, poor feeding and constipation. The infant was born at 39 weeks gestation, with no complications during the pregnancy or birth. The infant is exclusively breast fed, up to date on immunizations and has suffered from no previous illness. On further questioning, his mother reported that her son has not been himself for the past week. He has had no fever and there are no sick contacts. He has been less active, with a weak cry during this time.
His mother also notes the infant has not been as interested in feeding and has suffered from constipation. His urine output is decreased with only four wet diapers in the last 24 hours. Typically, he has 3-4 soft stools per day, usually after feeds, but has had no bowel movement in the past 5 days. Physical Exam: VS 37.0, P 114, R 22, BP 98/62, Wt. 5.3 kg (75%), Ht. 57cm…
