Spot Diagnosis

Congenital hypothyroidism



Question :
This child presented with delayed milestones.

What is the diagnosis?

Discussion :
Congenital hypothyroidism. This child has a dull look, umbilical hernia and coarse facial features. Congenital hypothyroid child may present with slightly increased head size due to myxedema of the brain. There may be prolongation of physiological jaundice, lethargy, somnolence, large tongue and nasal obstruction. Affected infants cry little, sleep more and are very lethargic. There may be presence of umbilical hernia, hypothermia, constipation, edema of genitals and extremities, cardiomegaly, bradycardia and asymptomatic pericardial effusion.

Correct Answers : yes  72%

Last Shown : Nov 2004
 
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