TABLE 1

Explanatory Diagnosis Categories with Relevant Diagnostic Testing and Specialty Consultation

Diagnosis Category and Specific DiagnosesRelevant Diagnostic TestingRelevant Specialty Consultation
Neurology: infantile spasms, seizure, brain abnormality EEG, brain MRI, head computed tomography, head ultrasound Neurology 
Airway or GI: laryngomalacia, oral pharyngeal dysphagia, subglottic stenosis, choking or gagging, GER, overfeeding, laryngospasm pH probe, barium swallow, upper GI series Otolaryngology, speech/feeding, nutrition, pulmonary, gastroenterology 
Respiratory infections: lower viral respiratory infection (eg, bronchiolitis), upper viral respiratory infection, community acquired pneumonia Chest radiograph, respiratory viral testing Not applicable 
Apneas: apnea of prematurity, severe central apnea Polysomnography Otolaryngology, pulmonary 
Nonspecific color or breathing change: circumoral cyanosis, periodic breathing, purple crying Not applicable Not applicable 
Nonspecific movement/consciousness: breath-holding spell, normal infant movement Not applicable Neurology 
Other   
 Accidental ingestion Toxicology screen Social work, toxicology 
 Acute gastroenteritis Not applicable Not applicable 
 Intussusception Abdomen ultrasound Radiology 
 Urinary tract infection Urinalysis, urine culture Not applicable 
 Pertussis Pertussis testing Not applicable 
 Bacteremia Blood culture Not applicable 
 Choanal atresia Computed Tomography, maxillofacial bones Otolaryngology 
 Compensated respiratory acidosis Blood gas analysis Not applicable 
 Meningitis Cerebrospinal fluid analysis Not applicable 
Diagnosis Category and Specific DiagnosesRelevant Diagnostic TestingRelevant Specialty Consultation
Neurology: infantile spasms, seizure, brain abnormality EEG, brain MRI, head computed tomography, head ultrasound Neurology 
Airway or GI: laryngomalacia, oral pharyngeal dysphagia, subglottic stenosis, choking or gagging, GER, overfeeding, laryngospasm pH probe, barium swallow, upper GI series Otolaryngology, speech/feeding, nutrition, pulmonary, gastroenterology 
Respiratory infections: lower viral respiratory infection (eg, bronchiolitis), upper viral respiratory infection, community acquired pneumonia Chest radiograph, respiratory viral testing Not applicable 
Apneas: apnea of prematurity, severe central apnea Polysomnography Otolaryngology, pulmonary 
Nonspecific color or breathing change: circumoral cyanosis, periodic breathing, purple crying Not applicable Not applicable 
Nonspecific movement/consciousness: breath-holding spell, normal infant movement Not applicable Neurology 
Other   
 Accidental ingestion Toxicology screen Social work, toxicology 
 Acute gastroenteritis Not applicable Not applicable 
 Intussusception Abdomen ultrasound Radiology 
 Urinary tract infection Urinalysis, urine culture Not applicable 
 Pertussis Pertussis testing Not applicable 
 Bacteremia Blood culture Not applicable 
 Choanal atresia Computed Tomography, maxillofacial bones Otolaryngology 
 Compensated respiratory acidosis Blood gas analysis Not applicable 
 Meningitis Cerebrospinal fluid analysis Not applicable 
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