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  • Initial Impression: Calzado, V. A. Catubay, Jaymee C. Chukwuneke, Chioma Nancy Cudiamat, Allen O. Dangsi, Marciel A

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    ᜀᜎ᜔ᜎᜒᜈ᜔ ᜃᜓᜇᜒᜀᜋᜆ᜔
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    This document presents the initial impression and findings of a newborn patient exhibiting several conditions: congenital adrenal hyperplasia likely due to 3β-hydroxysteroid dehydrogenase deficiency based on ambiguous genitalia and biochemical abnormalities; and possible viral pneumonia given leukopenia, fever, irritability, weight loss, and respiratory symptoms. Pertinent findings include hypoglycemia, vomiting, diarrhea, hyponatremia, hyperkalemia, and tachycardia supporting CAH, as well as preterm birth by C-section after PROM and negative blood cultures making viral pneumonia more likely.

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    FTT INITIAL IMPRESSION CAH.pptx

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    This document presents the initial impression and findings of a newborn patient exhibiting several conditions: congenital adrenal hyperplasia likely due to 3β-hydroxysteroid dehydrogenase deficiency based on ambiguous genitalia and biochemical abnormalities; and possible viral pneumonia given leukopenia, fever, irritability, weight loss, and respiratory symptoms. Pertinent findings include hypoglycemia, vomiting, diarrhea, hyponatremia, hyperkalemia, and tachycardia supporting CAH, as well as preterm birth by C-section after PROM and negative blood cultures making viral pneumonia more likely.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    15 views4 pages

    Initial Impression: Calzado, V. A. Catubay, Jaymee C. Chukwuneke, Chioma Nancy Cudiamat, Allen O. Dangsi, Marciel A

    Uploaded by

    ᜀᜎ᜔ᜎᜒᜈ᜔ ᜃᜓᜇᜒᜀᜋᜆ᜔
    This document presents the initial impression and findings of a newborn patient exhibiting several conditions: congenital adrenal hyperplasia likely due to 3β-hydroxysteroid dehydrogenase deficiency based on ambiguous genitalia and biochemical abnormalities; and possible viral pneumonia given leukopenia, fever, irritability, weight loss, and respiratory symptoms. Pertinent findings include hypoglycemia, vomiting, diarrhea, hyponatremia, hyperkalemia, and tachycardia supporting CAH, as well as preterm birth by C-section after PROM and negative blood cultures making viral pneumonia more likely.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 4

    INITIAL IMPRESSION

    Calzado, V. A.
    Catubay, Jaymee C.
    Chukwuneke, Chioma Nancy
    Cudiamat, Allen O.
    Dangsi, Marciel A.

    CONGENITAL ADRENAL HYPERPLASIA


    (3HSD)

    PERTINENT FINDINGS
    HGT- hypoglycemia
    vomiting
    Febrile
    Irritable
    3rd to 5th day mucoid, non
    bloody, non-foul smelling
    diarrhea
    Ambiguous genitalia (with
    scrotal fold, clitoris)
    hyponatremia
    hyperkalemia
    tachycardia
    tachypnea
    Weakness (pauses during
    feeding)

    CAH (3HSD)
    +
    +
    + (dehydration?)
    +(dehydration?)
    +

    +
    +
    +
    + (signs of shock)
    +

    PENUMONIA (VIRAL?)
    PERTINENT FINDINGS
    Birth weight 2000g (SGA)
    PROM 6hours
    CBC- leukopenia
    Blood Culture and Sensitivity- no
    growth
    Febrile
    Irritable
    Weight loss (1700g present
    weight)
    Subcostal retractions, harsh
    breath sounds

    PNEUMON
    IA
    RF
    RF
    +
    + (VIRAL?)
    +
    +
    (INFECTION?)
    +
    +

    THANK YOU

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