Q:

A 24-month-old child who is referred by health institute after parental concern of lonely play and delayed speech

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A 24-month-old child who is referred by health institute after parental concern of lonely play and delayed speech he is pica eater you have diagnosed haim as autistic spectrum disorder (ASD). veIagnosed ' 24 of the following, the MOST important next action is


  1. physical examination for dysmorphic features
  2. hearing tests
  3. lead level
  4. Wood\'s lamp
  5. chromosomal microarray

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(C). Lead level should be order in situation of that, the child is pica eater or he is living in area with high lead level in soil, air or water. Depending on clinical presentation, metabolic screen, thyroid stimulating hormone, EEG and specific genetic studies should be done.

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