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8177 Pediatrics

A 26 year old third_gravida mother delivered a male baby weighing 4-2 kg at 37 weeks of gestation through an emergency caesarean section, for obstructed labour. The child developed respiratory distress one hour after bih. He was kept nil per orally (NPO) and given intravenous fluids. He maintained oxygen saturation on room air. No antibiotics were given. Chest radiograph revealed fluid in interlobar fissure. Respiratory distress settled by 24 hours of life. What is the most likely diagnosis ?

ATransient tachypnea of the newborn
BMeconium aspiration syndrome
CPersistent fetal circulation
DHyaline membrane disease
Pediatrics
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8181 Pediatrics

An 8 days old male infant is brought to the emergency department with vomiting, lethargy, dehydration and features of shock. Clinical examination reveals hyperpigmentation of the genital skin and normal external genitalia. Abdominal examination is unremarkable. blood tests revealed sodium of 124 mecill, potassium of 7 meq/1 and hypoglycemia. Which of the following is the most likely diagnosis:

ACongenital Adrenal FIyperplasia (CAH)
BAdrenal Haemorrhage
CAcute Gastorenteritis with dehydration
DHyperaldosteronism
Pediatrics
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