Pediatrics

6 week old girl with poor feeding

Shilpa Gulati on May 26, 2013

A young mom (G2P2) brings her 6 week old daughter into your clinic with concern about her development. She reports the baby hasn’t been very active, and she doesn’t stool as often as her first child. The patient has been growing well despite seeming disinterested in feeding. On physical exam she is bradycardic, appears dry, and has noisy respirations.

What endocrine abnormality is most likely in this patient?

Expand all answers
Hyperthyroidism
Hypothyroidism
Growth hormone deficiency
Hypoinsulinism

Which is the best test to diagnose primary hypothyroidism in an infant?

Expand all answers
Free T4
Total T3
TSH
Thyroid ultrasound
Serum anti-thyroid antibody

A young mom (G2P2) brings her 6 week old daughter into your clinic with concern about her development. She reports the baby hasn’t been very active, and she doesn’t stool as often as her first child. The patient has been growing well despite seeming disinterested in feeding. On physical exam she is bradycardic, appears dry, and has noisy respirations.

What endocrine abnormality is most likely in this patient?

Expand all answers
Hyperthyroidism
Hypothyroidism
Growth hormone deficiency
Hypoinsulinism

Which is the best test to diagnose primary hypothyroidism in an infant?

Expand all answers
Free T4
Total T3
TSH
Thyroid ultrasound
Serum anti-thyroid antibody

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