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115641 Pediatrics

A 1-week-old girl was admitted to NICU for evaluation of vomiting and severe dehydration. On examination there is hyperpigmentation of the nipples and virilization. Her laboratory repos shows serum sodium levels very low and serum potassium levels are high but there is no haemolysis and serum glucose is 44 mg/dL. Which of the following is the most likely diagnosis?

APyloric stenosis
BSecondary hypothyroidism
CHyperaldosteronism
DCongenital adrenal hyperplasia
Pediatrics
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