An 18 month old child with ambiguous genitalia presented to the hospital, his BP is 118/78 mm Hg, Serum K+ is 6 mEq/L, serum sodium is 120 mEq/L. Patient was staed on I.V. fluids. What additional specific therapy will you add?
Clinical scenario and investigational findings point towards diagnosis of Congenital Adrenal Hyperplasia. All patients with classical CAH require replacement therapy with Hydrocoisone . Those with salt wasting also require mineralocoicoid replacement. The goals of therapy are to restore levels of physiological steroid hormones to the normal range
Hydrocoisone
Potassium binding resin
Digoxin
Calcium gluconate
Adrenal