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A 4-month-old baby boy comes in via ambulance with reduced conscious level. His mother is an insulin dependent diabetic. She says that he has been 'sleepy' for the past few hours.
Give 5 initial management steps.
The glucose on BM is 0.6 mmol/L.
Which of the following is the correct treatment?
While placing an IV cannula, bloods are taken for investigation. Match the result with the likely diagnosis.
Scoring: Points are deducted for incorrect selections.
Raised C-reactive protein and white cell count
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Low cortisol level
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Raised insulin/low c-peptide level
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Raised ammonia
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Raised insulin/raised c-peptide
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The child responds to glucose resuscitation. Further examination reveals a small reddish bruise on his lower abdomen. Mum says that this is from his 4 month vaccinations given 3 days previously.
Which of the following statements are correct?
Select one or more options.
Following reversal of the hypoglycaemia, the child is smiling and looks very well, the mother has three other children to take care of, she is a single parent and is anxious to get home. Give two reasons why this should not be allowed.