HIPOTIROID KONGENITAL. EA. Ega Andari. Updated 21 November Transcript. Bertujuan mengembalikan fungsi metabolisme; termoregulasi, respirasi. Waspada Hipotiroid Kongenital pada Bayi Baru Lahir – http://www. Kekurangan hormon tiroid pada masa anak- anak akan menghentikan pertumbuhan dan menghasilkan wajah infantil yang Kretinism (hipotiroid kongenital).

Author: Teshura Doular
Country: Anguilla
Language: English (Spanish)
Genre: Photos
Published (Last): 10 May 2010
Pages: 431
PDF File Size: 13.7 Mb
ePub File Size: 16.27 Mb
ISBN: 461-6-57511-737-9
Downloads: 13294
Price: Free* [*Free Regsitration Required]
Uploader: Fenrirn

Inborn metabolic errors of thyroid synthesis are much less frequent.

A 1-month-old female infant is referred to your clinic for a positive newborn screen for hypothy- roidism. Streak gonads are a finding seen in Turner syndrome.

In familial short stature, the bone age is normal compared to chronological age. The ossification center of the hamate is not normally present at birth, thus x-ray examination of the wrist is of no value in the newborn period. Radiography of the distal femur of patients with congenital hypothyroidism frequently reveals absent distal epiphysis.

Thyrotoxicosis in the first day oflife most likely occurs in an infant born to a mother with which of the following diagnoses? Leave a Reply Cancel reply Enter your comment here Examination reveals an alert infant with a large tongue, cool skin, a large umbil- ical hernia, edematous extremities, and hypotonia. To find out more, including how to control cookies, see here: In normal neonates, ossification centers are usually radiographi- cally visible at birth in which of the following sites?


The thyroid gland is invariably enlarged, often irregularly so. A scintis- can to look for ectopic thyroid tissue is helpful.

Maternal ingestion of iodides as in expectorants is a recognized cause of neona- tal hypothyroidism but is rare today. Which of the following is true of congenital hypothy- roidism?

The mechanism of the mixed hyperbilirubinemia is uncertain. The devel- opment of ossification centers is hippotiroid retarded in hypothyroidism. They are more likely to have endocrinopathies, including hypothyroidism.


Roentgenographic demon- stration of absence of the distal femoral epiphyses in a term infant would be suggestive of konngenital roidism. Close neurodevelopmental follow-up is necessary. A Affected infants are usually clinically apparent by the third day of life. Hypothyroidism also can be associated with anemia and impaired renal function, but these are mild.


C Affected infants appear thin. However, other auto- immune disorders, including diabetes mellitus, adrenal insufficiency, hypoparathyroidism, and pernicious anemia, occur in only a minority of patients. Notify me of new comments via email.

Neonatal screen- ing programs assist the clinician in identifying these infants after birth, although errors in screening occur. No other abnormalities are detected.

  DGPM 406 PDF

Which of the following is the most likely diagnosis? Thyroid hormone is critical for normal brain develop- ment, deficiency of thyroid hormone during the first 2—3 years of life could result in irre- versible brain development. The indirect hyperbilirubinemia is due to impaired hepatic glucuronidation of bilirubin and to enhanced enterohepatic circulation of bilirubin secondary to decreased intestinal motility. Although cardiomegaly from myxedema of the heart can be seen, there are so many other, much more common causes of cardiomegaly in the newborn that an enlarged heart would not be suggestive of hypothyroidism.

Which of the following roentgenographic find- ings in a newborn infant is most suggestive of undiagosed hypothyroidism? D Prolonged hyperbilirubinemia is common. Fill in your details below or click an icon to log in: April 7, Author: You are commenting hipotirold your Twitter account. The infants may be edematous, have a large poste- rior fontanelle, have difficulty with feeding, and have a history of prolonged jaundice.

D Most infants with congenital hypothyroidism are asymptomatic at birth.