Decreased Bowel Sounds in Pediatrics — Case | General Pediatrics | SMLE Q#17364
SMLE Question #17364
Pediatrics
General Pediatrics
Objective: OBJ-377
Last updated: February 2026
A 4-month-old boy has 2 days of constipation, poor feeding, and lethargy. Parents report a weak cry and reduced spontaneous movements. Examination shows generalized hypotonia, diminished deep tendon reflexes, weak suck, bilateral ptosis, and sluggishly reactive pupils. The abdomen is mildly distended with decreased bowel sounds. There is no vomiting or diarrhea. What is the most likely diagnosis?
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