A 2 month old baby who has ambiguous genitalia presents to the emergency department with vomiting. Lab results: Na+ 125mmol/L, K+ 6mmol/L. What is the most likely diagnosis?
belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:14| Question number:5
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The key is D. Congenital adrenal hyperplas. [ i) ambiguous genitalia ii) salt wasting manifested as hyponatremia and hyperkalemia (In mild forms of salt-wasting adrenal hyperplasia, salt wasting may not become apparent until an illness stresses the child). Here hyperkalaemia inspite of vomiting is indicating the disease].
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