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).

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Therapy initiated prior to 2—4 weeks of life can ensure near-normal intelli- gence. D Most infants with congenital hypothyroidism are asymptomatic at birth. Awareness of the subtle clini- cal signs and symptoms is imperative.

No other abnormalities are detected. Close neurodevelopmental follow-up is necessary. Fill in your details below or click an icon to log in: The other causes of congenital hypothyroidism are uncommonly seen. You are commenting using your WordPress. Which of the following is true of congenital hypothy- roidism?

Thyrotoxicosis in the first day oflife most likely occurs in an infant born to a mother with which of the following diagnoses? B Affected infants have unusually small fontanelles. Leave a Reply Cancel reply Enter your comment here The infants may be edematous, have a large poste- rior fontanelle, have difficulty with feeding, and have a history of prolonged jaundice.

The devel- opment of ossification centers is also retarded in hypothyroidism.


Radiography of the distal femur of patients with congenital hypothyroidism frequently reveals absent distal epiphysis.

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April 7, Author: A scintis- can to look for ectopic thyroid tissue is helpful. This site uses cookies. To find out more, including how to control cookies, see here: A delayed bone age is noted on skeletal survey based on the appearance of ossification centers and further testing reveals the diagnosis of con- genital hypothyroidism. The indirect hyperbilirubinemia is due to impaired hepatic glucuronidation of bilirubin and to enhanced enterohepatic circulation of bilirubin secondary to decreased intestinal motility.

You are commenting using your Facebook account. You are commenting using your Twitter account. Streak gonads are a finding seen in Turner syndrome.

Neonatal screen- ing programs assist the clinician in identifying these infants after birth, although errors in screening occur. Email required Address never made public.

A large posterior fontanelle is the only other finding. In familial short stature, the bone age is normal compared to chronological age. E Affected infants usually have a goiter present at birth.

They also hiptoiroid an increased likelihood of leukemia, but not solid tumors. Examination reveals an alert infant with a large tongue, cool skin, a large umbil- ical hernia, edematous extremities, and hypotonia. Notify me of new comments via email.


Thyroid hormone is critical for normal brain develop- ment, deficiency of thyroid hormone during the first 2—3 years hipotirojd life could result in irre- versible brain development. The thyroid gland is invariably enlarged, often irregularly so.

Most patients are euthy- roid, some are hypothyroid, and a few are hyperthyroid.


The most commonly used standards are those of Gruelich and Pyle, which require radiographs of the left hand and wrist; knee films are sometimes added for younger children. Congenital heart disease most commonly endocardial cushion defects occurs in almost half of these children. Hypothyroidism also can be associated with anemia and impaired renal function, but these are mild. Maternal ingestion of propylthiouracil causes a transi- tory hypothyroidism, but history should reveal maternal use of this drug.

Reference standards for bone maturation facil-itate estimation anam bone age.


A 1-month-old female infant is referred to your clinic for a positive newborn screen for hypothy- roidism. A Affected infants are usually clinically apparent by the third day of life.

Which of the following roentgenographic find- ings in a newborn infant is most suggestive of undiagosed hypothyroidism? 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.

The mechanism of the mixed hyperbilirubinemia is uncertain. By continuing to use this website, you agree to their use. D Prolonged hyperbilirubinemia is common.