hrp0094p1-96 | Thyroid A | ESPE2021

Thyroid storm and transient bulbar myopathy in a 22-month-old girl with Graves’ Disease

Sandy Jessica , Brungs Rosemary , Neville Kristen , Lawson John ,

22-month girl presented with 3 days of cough and fevers, 2 weeks of rhinorrhoea and frequent “clearing of throat” and 6 months of diaphoresis and growth spurt. On examination, she was flushed and diaphoretic with a large goitre. She had a low grade fever (T=37.9) with signs of cardiac compromise (bounding pulse sinus tachycardia [HR=200bpm]. She was hypertensive [BP=145/90mmHg] and tachypnoeic [RR=36/min] with respiratory distress and right-sided crepitations. She ha...

hrp0095p1-234 | Diabetes and Insulin | ESPE2022

Paediatric Post-Prandial Hyperinsulinaemic Hypoglycaemia

Brungs Rosemary , Güemes Maria , Bosch I Ara Laura , Kapadia Sharan , De Coppi Paolo , Shah Pratik

Objective: Postprandial hyperinsulinaemic hypoglycaemia (PPHH) or “late dumping syndrome” is a well-recognised complication following gastrointestinal surgery and has been less commonly identified idiopathically in paediatric patients. This study describes and compares the characteristics, diagnosis, management and outcomes of paediatric idiopathic and surgical PPHH.Design: Retrospective chart review of child...