PE22-Paediatric Endocrine Emergencies

Paediatric endocrine emergencies quiz

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10yr old girl presents with tetany, gas shows iCa 0.7. What is your next step? *

Admit for management of hypocalcaemia & cardiac monitoring

Give IV Calcium gluconate 2mmols/kg bolus

Insert large bore cannula and send blood for PTH, bone profile & Mg

Start IV infusion Calcium gluconate, 30mmols/day

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? *

0.1mmol/L

0.2mmol/L

0.5mmol/L

0.7mmol/L

2 week old boy presents with shock, Na 122, K 6.5 on gas. What is your next step? *

Give IV Hydrocortisone 5Omg

Check Cortisol, 17OHP, ACTH

Give 10mls/kg 0.9% NaCl bolus

Give 3% hypertonic saline bolus to correct Na to 135mmol/L

A 1 year old girl presents with seizure, BM 2.1, history of recurrent hypoglycaemia. What is your next step? *

5mls/kg IV 10% dextrose

Give IM Hydrocortisone 100mg

Start IVI Glucagon

Take blood for Hypopak & collect first urine passed

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? *

Start Thyroxine 50mcg daily

Arrange review with a morning Cortisol level in 6 weeks

Check anti TPO antibodies and repeat TFTs

Check Cortisol and ACTH

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