MTB - Pediatrics - Endocrine

Question 1

Baby born to diabetic mother - glucose level?

Answer 1

Low (was producing too much insulin to compensate for mothers high glucose)

Question 2

Macrosomia - organ not enlarged? Heme complication?

Answer 2

brain; polycythemia and hyperviscosity

Question 3

Baby born to diabetic mother - how is the colon affected? Management?

Answer 3

Small lefft colon syndrome

Smaller but more frequent feeds

Question 4

Baby born to diabetic mother - how is the heart affected? Management?

Answer 4

Asymmetric septal hypertrophy (leading to decreased output)

Treatment: b-blockers

Question 5

Baby born to diabetic mother - abdominal bruit and hematuria - suspected diagnosis. CBC will show?

Answer 5

Renal vein thrombosis

thrombocytopenia

Question 6

Child presents with hypotension and hypoNa - suspected diagnoses? Mostly due to? Also could be due to?

Answer 6

Congential Adrenal Hyperplasia

21-hydrolylase deficiency

17 hydroxylase deficiency
11 beta-hydroxylase deficiency

Question 7

Female presents with ambiguous genitalia and hypochloremia - suspected diagnosis? Diagnose with? Management?

Answer 7

CAH

increased 17-OH progesterone

Lifelong steroids

Question 8

Infertility and situs inversus - suspected diagnosis?

Answer 8

Kartagener’s syndrome

Question 9

Hallmark labs for each cause of Rickets:
#Low Vit D intake
#Inability to make 1,25 Vit D
#Hypophosphatemic rickets

Answer 9

Low phosphate, 1,25- and 25OH-Vit D

Low Calcium and 1, 25 Vit D

Decreased PO4 while everything else normal

Question 10

When to start Vit D supplements?

Answer 10

2 months