PE22-Paediatric Endocrine Emergencies Paediatric endocrine emergencies quiz Score Confirmation of participation I confirm that I have watched this entire presentation. 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 Section Buttons If you are human, leave this field blank. Submit Δ
