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Pediatrics
Today's Task:
End of endocrinology

Sources
1️⃣ Dr Mohamed Esmail
Endocrinology 3
Endocrinology 4
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2️⃣ DR. KZAZ
Endocrinology اخر تلت
A 27-year-old female presents with bilateral nipple discharge, no breast masses, she has history of Schizophrenia and mildly elevated prolactin level. Most likely cause:
Anonymous Quiz
0%
a. Renal disease.
76%
Medication side effecte
19%
Prolactin producing pituitary adenoma.
0%
Breast tumor.
5%
Hypothalamic disease.
newly married 21-year-old woman complains of menstrual irregularities and galactorrhea. Pelvic US is normal and prolactin level is 500 ng/ml. How can you proceed?
Anonymous Quiz
8%
Just follow up.
12%
Thyroid function tests.
4%
Soft tissue mammography
0%
Dilatation and curettage.
76%
CT brain
Semen analysis reveals a volume of 3 cm, count of 20 million/ml, motility of 5% (grade A and grade B) and abnormal forms of 20%. How do you consider these parameters?
Anonymous Quiz
21%
Normal
7%
b. Oligospermia.
57%
c Asthenospermia
11%
d. Teratospermia.
4%
Azoospermia.
A full-term male infant is delivered by an emergency caesarean section for fetal distress. At birth, the boy is limp, cyanotic, and has no respiratory effort. He is dried, suctioned, and stimulated. However, no clinical improvement is noted. His heart rate is 60/minute.
A 7-day-old term female infant presented to the outpatient clinic for routine checkup. Mother stated that her daughter was not breast feeding adequately. Her present weight is 3.2 kg while her birth weight was 3.4 kg. Physical examination was unremarkable.
A 2-hour-old full-term neonate has episodes of cyanosis. When they try to feed him, his oxygen level drops to 60%. But when he is cries, his oxygen levels increases above 90%. Which of the following should be done to diagnose this case?
Anonymous Quiz
0%
Bronchoscopic evaluation of palate and larynx.
40%
Echocardiogram
0%
Hemoglobin electrophoresis
60%
Passage of catheter into nose
newborn has hepatosplenomegaly, purpuric rash, jaundice, thrombocytopenia, and microcephaly. Computed tomography of the head showed cerebral calcifications.

Which of the following is the most diagnostic test for this case?
Anonymous Quiz
0%
Abdominal Ultrasound
20%
CBC, CRP
0%
Organic acids in urine
80%
TORCH Screen
A full term male baby with birth weight of 4.7 kg is born by elective caesarean section. His mother has uncontrolled diabetes mellitus.

Which of the following should be done in the initial management of this case?
Anonymous Quiz
0%
Call the laboratory to collect a PKU screening test
100%
Check the baby's serum glucose level
0%
Clean the umbilical cord with Betadine to prevent infection
0%
Order an urgent echo to exclude congenital heart disease
A male full term baby delivered vaginally is noted to be jaundiced at 20 hours, requiring intensive phototherapy, Maternal blood group is B positive while his blood group is O positive. On examination he is jaundiced, pale but is alert and active.