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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
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©2013 UpToDate ® Print Email Additional diagnostic studies to consider in the evaluation of an apparent life-threatenng event (ALTE) Test Potential diagnosis Dilated funduscopic examination Nonaccidental head injury (Shaken baby syndrome) Bacterial and viral screening, including lumbar puncture Infection (eg, sepsis, meningitis, pertussis) Electroencephalogram Seizure Metabolic studies: Arterial blood gases, lactate, pyruvate, NH4, urine amino and organic acids, aminotransferases Metabolic disease Airway fluoroscopy Anatomical abnormalities of the airway Cine-esophagram and upper gastrointestinal series Gastroesophageal reflux and anatomical abnormalities of the gastrointestinal tract CT or MRI of the head, brainstem Intracranial mass or hemorrhage Skeletal survey Child abuse Esophageal pH monitoring Gastroesophageal reflux Polysomnography Cardiologic, respiratory, neurologic or oxygenation abnormalities Holter monitoring Arrhythmia Echocardiogram Structural or functional cardiac abnormality Bronchoscopy Anatomic abnormalities of the airway Video surveillance Child abuse, Munchausen syndrome by proxy CT: computerized tomography; MRI: magnetic resonance imaging. Adapted from Kahn A. Recommended clinical evaluation of infants with an apparent life-threatening event. Consensus document of the European Society for the Study and Prevention of Infant Death, 2003. Eur J Pediatr 2004;163:108.