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NBME 20 Answers

nbme20/Block 3/Question#24

A 2-month-old girl is brought to the emergency ...

Thyroid function tests

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submitted by hayayah(349),

Patient has congenital hypothyroidism (cretinism). Findings: pot belly, pale, puffy-faced, umbilical hernia, macroglossia, hypotonia, poor brain development (MC cause of treatable mental retardation), large anterior fontanelles.

whossayin  how can you differentiate the symptoms of cretinism from Down syndrome? +