PE22-Paediatric Endocrine Emergencies

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.