NBME 2 boy w/ lethargy, umbilical hernia

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NBME 2 boy w/ lethargy, umbilical hernia

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NBME 2 boy w/ lethargy, umbilical hernia

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Author

6 Posts

step1000

Topics: 10
Posts: 29

05/02/08 - 05:08 PM

5 month old infant with lethargy, somnolence, hypothermia, feeding problems, and persistent jaundice. 7 days later he develops a hoarse cry and hypotonic muscles. the tongue is large and protruding, and an umbilical hernia is noted. Dx?

a. agenesis of parathyroid gland
b. congenital adrenal hyperplasia
c. maternal diffuse toxic goiter
d. thyroid hypoplasia
e. trisomy 21

lakshya_0_7
Forum Elite

Topics: 19
Posts: 240

05/03/08 - 04:38 AM

d......should be thyroid dysgenesis actually......

dallas22
Forum Newbie

Topics: 4
Posts: 9

05/03/08 - 09:10 AM

basophilia
Forum Junior
avatar

Topics: 6
Posts: 126

05/03/08 - 09:43 AM

step1000

Topics: 10
Posts: 29

05/03/08 - 05:04 PM

good job, guys grin

I have hard time understand why hypothyroidism leading to jaundice, coarse voice, umbilical hernia. Could u plz explain? thanks.

Tiff
Forum Guru

Topics: 50
Posts: 505

05/03/08 - 10:30 PM

step1000 wrote:
good job, guys grin

I have hard time understand why hypothyroidism leading to jaundice, coarse voice, umbilical hernia. Could u plz explain? thanks.

"Thyroid hormone is necessary for normal brain growth and myelination and for normal neuronal connections. The most critical period for the effect of thyroid hormone on brain development is the first few months of life." http://www.emedicine.com/PED/topic501.htm

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