elitoki
Forum Guru
Topics: 54
Posts: 508
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A 2 weeks old male has been throwing up for the past 12 hrs. The vomitus is bilious and foul-smelling, no diarrhea. Pt is lethargic, pulse 160/min, BP <50 systolic, R 70/min. PE extremely dehydrated.
WBC normal
Htc normal
Na+ 120 mEq/L
K+ 5.1 mEq/L
Cl- 90 mEq/L
HCO3 20 mEq/L
Glucosa 60 mg/dL
pH 7.34
pO2 84mmHg
pCO2 34mmHg
What is the underlying cause?
1. Cystic Fibrosis
2. Galactose 1 phosphate uridyl transfererase deficiency
3. pyloric stenosis
4. salt wasting 21-OH deficiency
5. Group B strepto infection.
Edited by elitoki on 07/04/07 - 12:12 PM
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,216
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3
___________________
When men make the rules, God decides the exceptions.
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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Complete Congenital Adrenal Hyperplasia---Salt wasting 21-oH deficiency--Most common
Hyperkalemia
Hyponatremia
Hypotension
Acidosis
Dehydration
Fits in correctly!
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| fudoc_20
Forum Newbie
Topics: 3
Posts: 46
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yeah i agree with sprint ! cannot be pylorric stenosis !!.it gives projactile NO BILOUS VOMITUS ,which is not the case here
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| elitoki
Forum Guru
Topics: 54
Posts: 508
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IT is correct, you guys. this is classic question of congenital adrenal hyperplasia.
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