Case of endocrine
3 years old female child comes to ED with abdominal pain, nausea, vomiting and hypotension. She has severe weight loss since 1 year of duration.Previously she was diagnose as transient hypoparathyrodism.
Her lab investigation shows Hb decreased ,cortisol <495nmol/L,Bp <110/70mmHg .Her thyroid function test –T3 & T4 increased TSH decreased & TPO and TMO is positive. fasting blood glucose is elevated.
On PE her thyroid is 3degree enlarged .
What would be ur further investigation & wt is ur diagnosis ?????
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Filed Under: Discussion
it could be a thyroid strome..thyroid scan can be done.