List two differential diagnoses and include the rationale

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Problem

Past medical history: Pregnancy: uneventful with full term birth at 40-weeks Newborn: passed newborn hearing screen. Left hospital at 2 days. Birth weight: 2.5kg (5lb 8oz) mother unsure why he was small at birth Illnesses: multiple ear infections, no other medical conditions. Accidents: none Developmental milestones: mother reports delayed sitting independently, delayed walking and continued poor speech development. Family medical history: Hypertension and high cholesterol on both maternal and paternal sides. No genetic or other information available. Social history: Parents are married, and both work full-time. He lives at home with mother, father, and one older sister. Environmental exposures: father smokes outside of house. No other exposures. Safety: no guns in the home. Medications and chemical cleaning products are in a locked cabinet. Medications: No current prescription, OTC or supplemental medications Allergies: No known allergies. List at least two differential diagnoses AND include the rationale.

Reference no: EM133755619

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