Case: A 3-year-old child is brought to the pediatric clinic…

Case: A 3-year-old child is brought to the pediatric clinic by her parents, who have noticed that her eyes appear cloudy and she seems to have difficulty seeing objects clearly. The primary care provider performs an eye examination and observes a white reflex in both eyes. The child is referred to an ophthalmologist for further evaluation. Question: Based on the case, which of the following is the most appropriate INITIAL management step for this child?  

A 6-month-old infant is brought to the clinic with concerns…

A 6-month-old infant is brought to the clinic with concerns about poor growth and frequent vomiting. On examination, you notice a full anterior fontanelle and impaired upward gaze. Which of the following is NOT a red flag suggestive of intracranial structural pathology in this age group?