A 3 week old infant is being admitted due to persistent hypo…

A 3 week old infant is being admitted due to persistent hypotonia with diminished tendon reflexes. He has had poor feeding with poor weight gain. On exam, he has dolichocephaly, narrow bifrontal diameter, almond-shaped eyes, a small mouth with thin upper lip, downturned corners of mouth, undescended testes, scrotal hypoplasia, a weak cry, and intermittently sounds squeaky. What disorder do you suspect?

A term infant is delivered after a prolonged deceleration an…

A term infant is delivered after a prolonged deceleration and emergency cesarean section. Apgar scores are 1 at 1 minute, 3 at 5 minutes, and 4 at 10 minutes. Cord arterial blood gas shows pH 6.92 and base deficit –18. At 40 minutes of life, the infant is lethargic with decreased tone, weak suck, and an incomplete Moro reflex. Using AAP criteria for therapeutic hypothermia, does this infant qualify?

A preterm infant born at 26 weeks developed a Grade III intr…

A preterm infant born at 26 weeks developed a Grade III intraventricular hemorrhage on day of life 2. Over the next two weeks, serial cranial ultrasounds show gradual enlargement of the lateral ventricles. The infant’s head circumference has remained stable, and the anterior fontanelle is soft and flat. Which approach is most appropriate for diagnosing and monitoring post-hemorrhagic ventricular dilation (PHVD) in this infant?