PE22-Paediatric Endocrine Emergencies Paediatric endocrine emergencies quiz Paediatric endocrine emergencies quiz This short quiz allows us to ensure there has been some learning through watching this video. Although this quiz is optional, we are unable to provide you with a certificate unless you complete it along with the feedback form. A pass mark of 80% is required to pass. 10yr old girl presents with tetany, gas shows iCa 0.7. What is your next step? * Start IV infusion Calcium gluconate, 30mmols/day Give IV Calcium gluconate 2mmols/kg bolus Insert large bore cannula and send blood for PTH, bone profile & Mg Admit for management of hypocalcaemia & cardiac monitoring 3 month old with 22Q deletion, presents with stridor. Gas iCa 0.6, you commence emergency treatment of hypocalcaemia. Below what level of Mg requires emergency IVI MgSO4? * 0.2mmol/L 0.5mmol/L 0.1mmol/L 0.7mmol/L 2 week old boy presents with shock, Na 122, K 6.5 on gas. What is your next step? * Give 3% hypertonic saline bolus to correct Na to 135mmol/L Give IV Hydrocortisone 5Omg Check Cortisol, 17OHP, ACTH Give 10mls/kg 0.9% NaCl bolus A 1 year old girl presents with seizure, BM 2.1, history of recurrent hypoglycaemia. What is your next step? * Give IM Hydrocortisone 100mg Take blood for Hypopak & collect first urine passed Start IVI Glucagon 5mls/kg IV 10% dextrose Teenage boy attends your clinic with fatigue, weight loss, vomiting. You note his face, knuckles are tanned. GP checked FT4 8pmol/L, TSH 23mU/L. What is your next step? * Check anti TPO antibodies and repeat TFTs Start Thyroxine 50mcg daily Arrange review with a morning Cortisol level in 6 weeks Check Cortisol and ACTH Confirmation of participation I confirm that I have watched this entire presentation. If you are human, leave this field blank. Submit Δ