Case
case history

Age: 10 months
Sex: Male

History
History of present illness:
Th childs mother stated that her son could not stand the sound of the fireworks display they had just attended. he literally jumped aththe sound of the each explosion.

Family history:
When asked if there was any family history of childhood hearing or neurologic disorders, the father indicated that back in Belarus , where they had immigrated from, two children, maybe cousins , had some kind of problem that resulted in death when they were only 2 or 3 years old. The mother could not recall any problems in family children back in Europe. She said they left Belarus because of religious persecution


Physical Exam
General:
upon examination, some generalized muscle weakness and tone was noted, and, a bright red dot woth a white halo was noted, bilaterally, on the childs retinas

Head, ears, eyes, nose & throat:
bright red dot woth a white halo was noted, bilaterally on the childs retinas




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