is a 29 month-old boy who presents to his primary care physician for a well
child examination. Mother reports that the boy has not developed appropriate
language. He only has about eight words in his vocabulary and he does not
put two words together. She believes that his hearing and vision are normal.
His motor development has been appropriate and he has had no regression
in his behavior or development.
PMH: The child was born at 39 weeks gestation and was the product of an unremarkable pregnancy, labor and delivery. The child has had four seizures at 11, 15, 19 and 23 months of age. Three of these events were in the setting of an acute febrile illness.
Family History: The parents have three other children who are developmentally normal and who have not had seizures.
Social History: Both parents have completed college and are employed.