A 33 0/7 week female infant is admitted to the NICU and has…
A 33 0/7 week female infant is admitted to the NICU and has normal vital signs with the exception of a blood pressure of 38/20 (29). Her physical exam is remarkable for mild respiratory distress, hypoperfusion, and clitoromegaly. Her point of care glucose is 30. The infant is treated with vasopressors but ultimately requires hydrocortisone before blood pressures normalize. Her blood sugar increases to 50 after a D10 bolus and IV fluids at 80 mL/kg/day. A BMP at 72 hours of life shows hyponatremia, hyperkalemia, and a serum glucose of 45. Which of the following is an appropriate next step in the evaluation of this infant?
Read DetailsBaby AB was born at 39 weeks to an O negative mother. On adm…
Baby AB was born at 39 weeks to an O negative mother. On admission to the newborn nursery, his face and chest appear jaundiced. The cord bilirubin is elevated at 7 mg/dL and the infant’s cord blood type comes back B positive with a positive DAT. What additional labs would you order? What type of treatment would you start?
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