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A 9 years old girl with hypothyroidism is on thyroxine 50 microgram/day. She is having constipation. Her grandmother worried that her school performance is poor & she is bullied at school for short stature. Her T4 is 2.6 (2.1-2.8) and TSH is 15 (0.5-5.0). What is the next step of her management?
14 year-old girl presented to the paediatric clinic due to short stature. She was the shortest in her class since preschool. Her development is age appropriate. School performance is below average. On examination she was prepubertal and had a heart murmur. What is the most appropriate investigation to identify the diagnosis? [INTAKE 32]
Mother of 6 year old boy complains of day time sleepiness and loud snoring at night. He has dark pigmentation in his neck and axilla. His performance at school is good. Weight of the child is 54kg. What is the most probable diagnosis? []
A 7 days old baby brought with cord blood TSH -75 mU/ml. clinically no signs of congenital
hypothyroidism .What is the next management?
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