A previously healthy 15-month-old girl is brought to the emergency department by her parents due to an episode of unresponsiveness. The patient was playing with her toys, and as the father removed them to prepare for bedtime, she began crying incessantly. There was a long pause in crying, during which the patient made no noise and stopped breathing until she turned blue, became limp, and was unresponsive for a few seconds. After this episode, she was alert and acted like her usual self. The patient takes no medications, and her vaccinations are up to date. Family history is unremarkable. She is at the 40th percentile for weight, height, and head circumference. Vital signs and physical examination are unremarkable.

This patient's most likely diagnosis is associated with which of the following?

A) Arrhythmias
B) Epilepsy
C) Normal development
D) Orthostatic hypotension
E) Structural heart disease

Question

17-04-2025
Medicine

College

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A previously healthy 15-month-old girl is brought to the emergency department by her parents due to an episode of unresponsiveness. The patient was playing with her toys, and as the father removed them to prepare for bedtime, she began crying incessantly. There was a long pause in crying, during which the patient made no noise and stopped breathing until she turned blue, became limp, and was unresponsive for a few seconds. After this episode, she was alert and acted like her usual self. The patient takes no medications, and her vaccinations are up to date. Family history is unremarkable. She is at the 40th percentile for weight, height, and head circumference. Vital signs and physical examination are unremarkable.

This patient's most likely diagnosis is associated with which of the following?

A) Arrhythmias
B) Epilepsy
C) Normal development
D) Orthostatic hypotension
E) Structural heart disease

Answer :

Final answer:

Based on the given information, the most likely diagnosis for the girl's condition is Breath-Holding Spells, which is associated with normal development. They are common and benign occurrences in children caused by sudden fright or upset, and they don't lead to long-term harm.

Explanation:

The situation described here seems to point towards a common and benign occurrence in children known as a Breath-Holding Spell. These spells are associated with Normal Development (Answer C), and they can occur in response to sudden fright or upset, such as the child having her toys taken away. Breath-Holding Spells are not associated with arrhythmias, epilepsy, orthostatic hypotension, or structural heart disease. On the contrary, these episodes typically occur in children between 6 months to 6 years of age, and they usually stop by 5 or 6 years old.

It's important to note that while these episodes can be frightening for parents, they do not cause long-term harm to the child. However, they should be differentiated from conditions like seizures, which require medical treatment.

Learn more about Breath-Holding Spells here:

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