Endocrine System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Vomiting in early infancy is a very common complaint and is usually secondary to benign causes such as feeding disorders, mild gastroesophageal reflux or gastroenteritis.\n\nHowever, vomiting may also be a manifestation of severe diseases such as intestinal obstruction, inborn errors of metabolism, infections outside the gastrointestinal tract (especially those of the central nervous system and urinary tract), renal failure and congenital adrenal hyperplasia.\n\nFeatures suggestive of a sinister etiology include bilious vomiting, prolonged vomiting, failure to thrive, and being systemically unwell (as with this patient).\n\nNote also that this infant is significantly dehydrated, as demonstrated by the sunken anterior fontanelle, dry buccal mucosa"}]}

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