4.8 of 8 Ratings
Please rate this review topic.
You have never rated this topic.
Thank you. You can rate this topic again in 12 months.
A 3-day-old girl is brought to the general pediatrics clinic by her mother. She was the product of an uncomplicated, full-term, standard vaginal delivery after an uncomplicated pregnancy in which the mother received regular prenatal care. This morning, after changing the child's diaper, the mother noticed that the newborn had a whitish, non-purulent vaginal discharge. The mother has no other complaints, and the infant is eating and voiding appropriately. Vital signs are stable. Physical exam reveals moderate mammary enlargement and confirms the vaginal discharge. The remainder of the exam is unremarkable. What is the next step in management?
Order a karyotype
Begin a workup for 17 alpha-hydroxylase deficiency
Begin a workup for 21-hydroxylase deficiency
Begin a workup for 11 beta-hydroxylase deficiency
No tests are needed
Select Answer to see Preferred Response