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Brief Resolved Unexplained Event Clinical Pathway — Differential Diagnosis — Emergency

Brief Resolved Unexplained Event Clinical Pathway — Emergency and Inpatient

Differential Diagnosis and Possible Explanations for Event

Explanation
of Event
  • Choking or gagging
  • Normal breathing pattern
  • Periodic breathing of newborn
  • Breath holding
  • Myoclonic jerks
Differential Diagnosis
  • Child Maltreatment
  • Abusive head trauma
  • Suffocation
  • Poisoning
  • Neurologic
  • Seizure
  • Structural brain abnormality
  • Neuromuscular disorder
  • Cardiac
  • Cardiac arrhythmia
  • Congenital heart disease
  • Pulmonary
  • Obstructive apnea
    • Laryngomalacia
  • Central apnea
  • Apnea of prematurity
  • Infectious Disease
  • Upper respiratory infection
  • Lower respiratory tract infection
    • Bronchiolitis, pneumonia, pertussis
  • Gastrointestinal
  • Gastroesophageal reflux disease
  • Suck/swallow dysfunction
  • Inborn Errors of Metabolism
  • Glycogen storage disease
  • Hyperinsulinism
  • Fatty acid oxidation defects
  • Drug Effect
    Drug Withdrawal

Reference

Merritt, J.L., Quinonez, R.A., Bonkowsky, J.L., et al. (2019). A Framework for Evaluation of the Higher-Risk Infant After a Brief Resolved Unexplained Event. Pediatrics, 144(2).

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