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 Gokul,Bogra wasadmitted in RCHon 23.!."#through the $%&

with the'omplaints ofGenerali(ed

)odya'he for 2days, fe*er for 2days and

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''ording to thestatement of the

patient,she wasreasona)ly well 2days)a'k.-hen she de*eloped

generali(ed )odya'hewhi'h is asso'iated withfe*er.e*er is low grade

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She alo 'omplained of loss ofapettite,intoleren'e to'old,de'rease sleep.she was

also su/ering from'onstipation.She has no history of weight

gain,generali(ed swelling ofwhole )ody,horseness of*oi'e,memory distur)en'e.

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She has no history ofmenstruation through

out her life 0 there is nohistory of any type ofphysi'al 'hange due to

pu)erty

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$n e1amination found herHeight !4+5

6eight !2kg ,ll looking ,lethergi'%ulse#2)7min B%87#mmHg-emp" RR"97minnemia,:aundi'e,Cyanosis is a)sent .-hyroid gland are not enlarged,;ymphnode are not palpa)le1illary 0 %u)i' hair is a)sent

Breast are not de*elopedSkin is rough 0 dry

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  Diagnosis 

???

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%ro*isional diagnosis

Congenital

hypothyroidism

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Diferential diagnoses are

%anhypopituitar

ism

Constitutional

growth

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Complete blood picture

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Random Plasma Glucose

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Serum Electrolytes

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Urine R/M/E

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USG o !/"

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#ray s$ull lateral %ei&

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So, My &iagnosisis

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