Paed ILAs Flashcards
1
Q
What may you find O/E in a neonate with congenital adrenal hyperplasia?
A
Virilisation of female genitalia (ambiguous genitalia)
Sx of dehydration
2
Q
What investigations would you perform if you suspect congenital adrenal hyperplasia?
A
Random serum hydroxyprogesterone: raised
U&Es: ↓NA ↓CL ↑K
Glucose: may be low
3
Q
What is the immediate management of congenital adrenal hyperplasia?
A
- Fluid bolus and glucose bolus
- Glucocorticoid: Hhydrocortisone
- Mineralcorticoid: Fludrocortisone
- Replace NaCL with fluids