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

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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

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3
Q

What is the immediate management of congenital adrenal hyperplasia?

A
  1. Fluid bolus and glucose bolus
  2. Glucocorticoid: Hhydrocortisone
  3. Mineralcorticoid: Fludrocortisone
  4. Replace NaCL with fluids
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