easy diagnosis but must not be missed. 2 months old brought for irritability. what are the diagnostic clues?

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Congenital hypothyroidism

Note hoarse cry macroglossia low hairline dull expression wrinkles. Now comment?

Cong. Hypothyroidism
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Congenital hypothyroidism

Cong Hypothyroidism

FTT Top feed No breastfeeding Irritable for feed Start formula feed

Congenital hypothyroidism

SAM with some dehydration

Cong hypothyroidism
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hypothyroidism.

Cong. Hypothyroidism is the right answer.
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Congenital hypothyroidism

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