SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Neonatal adrenal crisis

2-week-old male is brought to your Emergency Department by concerned parents. He is floppy and listless and brought into the resus bay. He was born at term after an uneventful pregnancy and received his first immunisations. His parents report progressive lethargy since discharge 10 days ago. Vitals are as follows :

  • HR 170
CRT 5s
  • RR 36
AVPU P
  • Temp 36.5°
VBG: pH 7.07 pCO2 55 HCO3 17 BE -7 Lactate 6.26 Creat 62

1. What is the most likely diagnosis and why? 2 marks

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2. What is the key medication required for this presentation? Provide dose and route. 1 mark

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3. In addition to the above, outline your immediate management of (3) critical issues identified in your initial assessment. 6 marks

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4. Excluding idiopathic and congenital causes, list (3) other conditions that can result in this type of presentation (adult or paed). 3 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.