An 8 days old male infant is brought to the emergency department with vomiting,lethargy,dehydration and features of shock.Clinical examination reveals hyper pigmentation of the genital skin and normal external genitatia.Abdominal examination is unremarkable.Blood tests revealed sodium of 124 meq/l,potassium of 7 meq/l and hypoglycemia.Which of the following is the most likely diagnosis:

Question

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Adrenal Haemorrhage

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Acute Gastroenterit is with dehydration

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Hyper aldosteronism

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Congenital Adrenal Hyperplasia (CAH)

1.	An 8 days old male infant is brought to the emergency department with vomiting,lethargy,dehydration and features of shock.Clinical examination reveals hyper pigmentation of the genital skin and normal external genitatia.Abdominal examination is unremarkable.Blood tests revealed sodium of 124 meq/l,potassium of 7 meq/l and hypoglycemia.Which of the following is the most likely diagnosis:
A.	Acute Gastroenterit is with dehydration
B.	Hyper aldosteronism
C.	Congenital Adrenal Hyperplasia (CAH)
D.	Adrenal Haemorrhage
Answer» D. Adrenal Haemorrhage

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