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General Medicine General a033fce2

An 8 days old male infant is brought to the emergency department with vomiting, lethargy, dehydration and features of shock. Clinical examination reveals hyperpigmentation of the genital skin and normal external genitalia. Abdominal examination is unremarkable. blood tests revealed sodium of 124 mecill, potassium of 7 meq/1 and hypoglycemia. Which of the following is the most likely diagnosis:

A
Congenital Adrenal FIyperplasia (CAH)
B
Adrenal Haemorrhage
C
Acute Gastorenteritis with dehydration
D
Hyperaldosteronism

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