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29 Pediatrics

An 8–day old breast–fed baby presents with vomiting, poor feeding and loose stools. On examination the heart rate is 190/minute, blood pressure 50/30 mmHg, respiratory rate 72 breaths/minute and capillary refill time of 4 seconds. Investigations show hemoglobin level of 15 g/dl. Na 120 mEq/l, K 6.8 mEq/l, Cl 81 meq/l, bicarbonate 15 mEq/l, urea 30 mg/dl and creatinine 0.6 mg/dl. the most likely diagnosis is –

ACongenital adrenal hyperplasia
BAcute tubular necrosis
CCongenital hypertrophic pyloric stenosis
DGalactosemia
Pediatrics
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35 Pediatrics

A 2-year-old child was brought to the emergency depament at 3 AM. The child presented with fever and cough. On examination, respiratory rate was 36/ min, temperature was 39degC and saturation on pulse oximetry was 96%. The child had barking cough and stridor only on crying. Otherwise, the child was hydrated, able to drink and consolable. The nest step in management would be:

ARacemic epinephrine nebulization
BSingle dose of dexamethasone
CComplete blood count and culture
DNasal washings for Respiratory Syncytial Virus (RSV) and influenza
Pediatrics
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