Endocrinology

Question 1

What are common findings in babies born to mothers with diabetes?

Answer 1

Macrosomia
Small Left colon syndrome
Cardiac abnormalities
renal abnormalities
metabolic abnormalities

Question 2

What is Macrosomia?

Answer 2

all organs are enlarged except for the brain: increased output from bone marrow leads to poycythemia and hyperviscoscity

Question 3

What are possible clues in the hx for macrosomia?

Answer 3

Shoulder dystocia and brachial plexus palsy

Question 4

What is small left colon syndrome?

Answer 4

Congenitally smaller descending colon leading to distension from constipiation

Question 5

How do you diagnose small left colon syndrome?

Answer 5

Barium study

Question 6

How do you treat small left colon syndrome?

Answer 6

Smaller, more frequent feeds

Question 7

What is the major cardiac change in infants born to mothers with Diabetes?

Answer 7

Asymmetric septal hypertrophy due to obliteration of the LV chamber

Question 8

What does Asymmetric Septal Hypertrophy in a new born lead to?

Answer 8

Decreased Cardiac Output

Question 9

How do you diagnose Asymmetric Septal Hypertrophy in an infant?

Answer 9

Echocardiography

Question 10

How do you treat Asymmetric Septal Hypertrophy in an infant?

Answer 10

Beta Blockers and IV Fluids

Question 11

How does Renal Vein Thrombosis Present?

Answer 11

Flank mass with possible Bruit

Hematuria and thrombocytopenia

Question 12

What can Hypoglycemia in newborn cause?

Answer 12

Seizures

Question 13

What can Hypocalcemia in a newborn cause?

Answer 13

Tetany

Question 14

What can Hypomagnesemia in a newborn cause?

Answer 14

Hypocalcemia and PTH decrease

Question 15

What can Hyperbilirubinemia in a newborn cause?

Answer 15

Icterus and Kernicterus