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Paediatric

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Endocrinology

Question
15 out of 35
 

8 yrs. old child presents with lethargy multiple epiphyseal breaks, wormian bones with growth retardation and mental retardation Diagnosis is (AIIMS Nov 2014)



A Rickets
B Hypothyroidism

C Scurvy
D Hypoparathyroidism

Ans. B

Hypothyroidism

o Multiple epiphyseal breaks, wormian bones with lethargy, growth retardation and mental retardation suggest the diagnosis of hypothyroidism.

X-ray findings of hypothyroidism

o Delayed appearance of epiphysis

o Multiple foci of ossification - Epiphyseal dysgenesis

o Epiphyseal breaking of 12th thorasic and 1st or 2nd lumber vertebrae.

o Skull

i) Large fontanelle

ii) Wide sutures

iii) Wormian bones

iv) Enlarged & rounded sella turcica

o Delayed dentition

Endocrinology Flashcard List

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