Chief Complaint A three-day old male infant is brought to the ER with vomiting and diarrhea by his 22-yr-old white mother. The mother states, "It started yesterday. He sleeps all the time, but when he's awake he just won't stop crying and I can't get him to stop throwing up after he eats.” This is the mother's first pregnancy. The infant was full term and there were no complications during the lady partsl birth. A full assessment is performed, and the infant is admitted to the hospital. Assessment Findings Depressed fontanels High-pitched cry lasting more than 5 minutes. Moro reflex is hyperactive. Mild tremors when disturbed. Increased muscle tone, no excoriation of chin, knees, elbows, toes or nose, myoclonic jerks present. Yawns frequently. No nasal stuffiness, nasal flaring or sneezing apparent. Skin is dry with no mottling. Vital Signs BP 89/60 RA, lying HR 110 bpm RR 70/min with no retractions T 101o F O2 sat 98% Weight at birth 5 lbs 6 ounces Current weight: 5 lbs 4 ounces What's going on here? What other information do you need? What labs do you want? What other diagnostic tests should we run?