Eli

IntroductionYou receive an urgent call to evaluate a term newborn whose mother had gestational diabetes on insulin. The baby appeared normal at birth but has become increasingly lethargic and jittery in the first few hours of life, with poor feeding reported by nursing staff. This case challenges your ability to quickly recognize and manage a common but potentially serious metabolic complication in infants of diabetic mothers. Can you identify the underlying problem and implement appropriate treatment before neurological damage occurs? Important Notes:You must log in to take this quiz and all future quizzes Each question builds on information from previous questions This quiz has mainly ONE right answer, in case of MULTIPLE right answers you will be notified by "Select all that apply". The case follows a realistic clinical progression with laboratory findings and management decisions DISCLAIMER: We do not guarantee that the "correct answer" in a quiz is 100% correct. Never base your clinical decisions on a quiz! Quiz Authors: Eliska Mikeskova @Eli, Victoria Payne @Vicky Payne , Katarzyna Piatek @piatkat Expert Revision by: Stefan Johansson @Stefan Johansson and Mariana Oliveira @Mariana Oliveira This educational quiz is based on review papers: https://bmjmedicine.bmj.com/content/bmjmed/3/1/e000544.full.pdf https://publications.aap.org/neoreviews/article-abstract/22/4/e230/180672/Congenital-Hyperinsulinism?redirectedFrom=fulltext

IntroductionYou are called to the NICU to evaluate a premature infant who developed severe jaundice within hours of birth. As critical lab values begin to emerge, you'll need to think quickly and broadly to identify what's truly happening with this patient. This quiz challenges you to recognize the subtle signs of a rare but potentially fatal complication in neonates. Can you identify the underlying condition and implement life-saving interventions before it's too late? Important Notes:You must log in to take this quiz and all future quizzes Each question builds on information from previous questions The case follows a realistic clinical progression with laboratory findings and management decisions DISCLAIMER: We do not guarantee that the "correct answer" in a quiz is 100% correct. Never base your clinical decisions on a quiz! Quiz Authors: Eliska Mikeskova @Eli and Katarzyna Piatek @piatkat Expert Revision by: Stefan Johansson @Stefan Johansson and Mariana Oliveira @Mariana Oliveira This educational quiz is based on and adapted from a case report by Blondel F, et al. published in BMJ Case Rep 2022;15 (doi:10.1136/bcr-2021-246961). The case has been modified for educational purposes, with changes to clinical parameters, timeline, and scope. The complete original case report, which includes additional clinical findings not covered in this quiz, is available at: https://casereports.bmj.com/content/15/4/e246961