PEDS: Congenital Adrenal Hyperplasia (CAH)

Today's Episode Charlee reviews chapter 19 from the Pediatric Morning Report book. A 2-week-old female infant is seen for a follow-up visit. She was born at term after an uncom- plicated vaginal delivery. Over the past week, she has developed recurrent vomiting, diarrhea, and poor feeding. She has not been able to gain weight and appears less interactive. Her blood pres- sure is 70/40 mm Hg, pulse rate is 165 beats/min, respiration rate is 18 breaths/min, and oxygen saturation was 95% on room air. On physical examination, she appears lethargic. She has sunken fontanelles, dry mucous membranes, and decreased capillary refill. On genitourinary examination, there is significant clitoromegaly and fusion of the labiosacral folds. There is also slight hyper-pigmentation of the skin that is more prominent in the skin creases and genital area. Today's Host Charlee Quarless is a 3rd year medical student at Ross University. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Learn more about your ad choices. Visit megaphone.fm/adchoices