CAH Flashcards
1
Q
Treatment of CAH
A
Medic alert bracelet
CAH support group
Genetic counseling ( X linked)
Emergency BSL low treat with 10% dextrose 2ml/kg bolus NS and 5% dextrose IV HYDROCORTISONE 100mg/m2 Monitor the K+
2
Q
Home management of primary CAH
A
Go home on regular steroids and mineralocorticords Braclet Sick day management Letter for parents School and hospital Hydrocortisone/ fludrocortisone
3
Q
Sick day management of Primary CAH
A
Moderate sick increase the usual dose x3
Seriously sick 4x increase but if cannot tolerate IMI and hospital
4
Q
In a baby with ambiguous genitalia
A
Check for GONDADs if palpable = male
If no gonads USS/MRI/ laparoscopy
Malignancy risk if intra abdominal gonad
5
Q
Malignancy risk for the intra abdominal gonad
A
Depends on the category of SDS
6
Q
DSD disorder of sexual differential
A
Can present at any age
CAH birth /infants day 7-21/ 1-8 years and adolescents
7
Q
CAH is the most common cause of ambiguous genitalia
A
True
