اهمیت بررسی ابهامات دستگاه تناسلی اطفال بیمار دربخش اورژانس

اهمیت بررسی ابهامات دستگاه تناسلی اطفال بیمار دربخش اورژانس

کد: G-1118

نویسندگان: Forooza Faress © ℗

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خلاصه مقاله:

خلاصه مقاله

A 50-day-old male infant was brought by his parents to the emergency department of the children's hospital with complaints of nausea, loss of appetite, and inappropriate weight gain. Despite the partial recovery of nausea and a slight improvement in feeding status, they go to the hospital at the insistence of the relatives. doctor examines the patient in the emergency room and with the advice of the gastroenterology service and orders the necessary tests, he orders Ram to be admitted to the gastroenterology service with the diagnosis of growth failure. The emergency room notices the gender ambiguity during the examination, but is not sure. During the stay in the emergency room, the child was breastfed and according to the doctor, except for the weight loss and emaciation, the general condition was good. After about 4-5 hours, the patient was transferred to the ward and the result of the sodium test was 99 and potassium was 6.5. The general condition of the patient was good and he was feeding on breast milk in the ward, but the patient's vein was damaged and the vein was taken again despite the efforts. It fails. In order to correct the sodium and receive the drugs, a suitable vein is needed and the patient was transferred to the intensive care unit, where he was diagnosed with dry oral mucosa during the insertion of the central vein (about 12 hours after admission) and unfortunately dies It seems that the examination of the reproductive system of pediatric patients should be done in the emergency room in all patients with any complaint, and even in case of uncertainty and suspicion of gender ambiguity, the result should be recorded and the possibility of adrenal insufficiency should be considered,،And considering the low cortisol reserve of these patients, especially during invasive procedures or not having a suitable vein and not receiving enough fluid, and the possibility of the patient becoming dehydrated during hospitalization, even in spite of a good appearance and a long hospitalization in the emergency room, considering The possibility of adrenal insufficiency, hydrocortisone should be prescribed from the beginning

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