Medical MCQ-An 18 month old child with ambiguous genitalia presented to the hospital, his BP is 118/78 mm Hg, Serum K+ is 6 mEq/L, serum sodium is 120 mEq/L. Patient was staed on I.V. fluids. What additional specific therapy will you add?

An 18 month old child with ambiguous genitalia presented to the hospital, his BP is 118/78 mm Hg, Serum K+ is 6 mEq/L, serum sodium is 120 mEq/L. Patient was staed on I.V. fluids. What additional specific therapy will you add?

Hydrocoisone

Potassium binding resin

Digoxin

Calcium gluconate

Question Category:

Pharmacology

Correct Answer:

Hydrocoisone

Description:

Clinical scenario and investigational findings point towards diagnosis of Congenital Adrenal Hyperplasia. All patients with classical CAH require replacement therapy with Hydrocoisone . Those with salt wasting also require mineralocoicoid replacement. The goals of therapy are to restore levels of physiological steroid hormones to the normal range

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