A 3 year old boy is admitted in a confused state following a first seizure.

Question Number 0633

Question:
A 3 year old boy is admitted in a confused state following a first seizure. His mother describes her son has recently lost appetite and that over the last few hours before his seizure he seemed anxious and vomited repeatedly. On examination the child is pale and his pulse rate is elevated. His blood blood glucose is 20 mg/dL (normal value 80-90 mg/dL). What would the next investigation of choice be?

a) CT of the abdomen
b) lumbar puncture
c) transilluminate scrotum
d) urinary reducing substances
e) fundoscopy


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