Task: Translation
Input (Spanish): En un paciente de 14 años con Síndrome de Down que presenta nucalgias (exploración neurológica normal) y va a ser sometido a anestesia general (intubación orotraqueal) para cirugía abdominal electiva debe descartarse
Output (English): In a 14-year-old patient with Down syndrome who presents with nucalgia (normal neurological examination) and is going to be subjected to general anesthesia (orotracheal intubation) for elective abdominal surgery, the following should be ruled out