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Case Study – You have just arrived for your 7AM shift ona cold February morning when an unresponsive 21-month-old girl isbrought in by emergency medical services. On arrival to the ED, sheis noted to be lethargic and flaccid. She is immediately placed ona cardiorespiratory monitor and the following vital signs areobtained: heart rate 160 beats per minute, respiratory rate 36breaths per minute, blood pressure 85/58 mm Hg, temperature 37.8°C,oxygen saturation 100% on facemask oxygen. On physical examination,she has sluggish opening of her eyes to voice. She moans andlocalizes to pain, and her skin is pale. She is not apneic orcyanotic. Other than her altered level of consciousness, the restof her physical examination is normal. She is managing her airwayappropriately. Emergency medical services reports that they checkedher serum glucose and it was normal. Her mother arrives 20 minuteslater and states that the child was previously healthy, and she wasin her normal state of health when she placed her in the crib atbedtime. The mother says she went to check on her daughter thismorning when she did not wake at her normal time and found herunresponsive. She has not had any fevers, upper respiratorysymptoms, diarrhea, or rashes. There is no history of trauma, andthe child has been in the care of her mother. The mother alsostated that she needed to use a space heater because the weatherhas been so cold out. She also stated that she has not been feelingwell, with headache and nausea upon waking thismorning
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Based on your assessment, what diagnosis would yoususpect?
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What key lab value would identify differentialdiagnosis?
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What is the main treatment for this patient
