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A 12-week-old child was brought into an ER showing signs of being listless and trouble breathing.  Usually happy and smiley, the child shows no noticeable facial expressions in the last 2 days.  The child's eyes were reported to not be making eye contact with the nurse and failed to grasp the nurse's finger.  The child has also been reported to not have any bowel movements in the past 3-4 days.

1. What do you believe is the condition of the child? Why?

2. What should be administered to the child (treatment)?

3. How did (could have) the child acquires this condition?

4. Although the diagnosis should be confirmed with lab tests, why should THIS TEST not be performed in the hospital lab.  Please explain.

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