<s>[INST] I m an EMT. We were called to the home of an 11-week-old infant boy who was listless and had trouble breathing. The parents said he hasn t been smiling lately and hasn t had any facial expressions either. The baby s eyes were open but he wasn t able to focus. He wasn t ab e to grab my finger when I put it out. His foot fell back on the bed when I lifted it up. Originally, I thought it could be Aspergers but the parents said he hasn t had a bowel movement in three days. We took him and he was admitted. I was just curious what it could have been? Maybe some kind of bacterial infection? [/INST] Hi, It could be seizure or shock. As this condition should also be evaluated for child abuse or shaken baby syn Chat Doctor. . For that first thoroughly examination of infant is required. Some important investigations may be needed Like Eye examination, fundoscopy to rule out retinal hemorrhages, Ct brain and bone examination to check out any fracture. Marks on back and arms can be suspected for abuse. Shock can be because of sepsis, or deny </s>