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what is the diagnosis

Complains respiratory distress.3 month old male child with head lag.spot diagnosis please

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Classic case of congenital hypothyroidism as seen in textbooks. It should have been diagnosed earlier at birth with screening. It's a preventable cause of mental retardation too.

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Classic case of congenital hypothyroidism as seen in textbooks. It should have been diagnosed earlier at birth with screening. It's a preventable cause of mental retardation too.

Thank you doctor
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Congenital Macrocephaly with RTI ? Chest X-ray O2 inhalation sos Consult Pediatricians for needful.

On exam baby had delayed dev milestones,no social smile,pallor,hoarse cry,no significant resp distress,dry rough skin and a hoarse cry.On questioning mother said baby was constipated
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Kindly give full details. Child may need icu care and neurological examination. Monitoring spo2, oxygen sos. Needs thorough evaluation as can be a floppy infant / IEM s . Get the baseline investigations done like cbp, crp and esr .

On exam baby did not have any significant distress.There was nonpitting oedema,pallor,nonpitting oedema,a large tongue,mottling of skin and hoarse cry.On questioning mother said baby was constipated
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