Case 2
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.
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Question 1 of 5
1. Question
Give 5 initial management steps.
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Question 2 of 5
2. Question
The glucose on BM is 0.6 mmol/L.
Which of the following is the correct treatment?
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Question 3 of 5
3. Question
While placing an IV cannula, bloods are taken for investigation. Match the result with the likely diagnosis.
Scoring: Points are deducted for incorrect selections.
Sort elements
- Sepsis
- Hypopituitarism
- Exogenous insulin administration
- Inherited disorder of metabolism
- Endogenous hyperinsulinaemia
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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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Question 4 of 5
4. Question
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.
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Question 5 of 5
5. Question
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.
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