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General Medicine General 937bd6da

A 1-week-old girl was admitted to NICU for evaluation of vomiting and severe dehydration. On examination there is hyperpigmentation of the nipples and virilization. Her laboratory repos shows serum sodium levels very low and serum potassium levels are high but there is no haemolysis and serum glucose is 44 mg/dL. Which of the following is the most likely diagnosis?

A
Pyloric stenosis
B
Secondary hypothyroidism
C
Hyperaldosteronism
D
Congenital adrenal hyperplasia

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