Hyponatraemia in Primary Care

Salt wasting form (severe disease): emesis, dehydration, hypotension, shock in the first 2-4 weeks of life, Hyponatremia and hyperkalemia (low ald.), hypoglycemia (lack of cortisol) Dx: high serum 17-hydroxyprogesterone. Tx: cortisol and mineralocorticoids to shut off excess ACTH secretion; early correction of female genital abnormalities ................
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