PCL 8: It's a Boy

PCL 8: It’s a BOY ??
Patient details:
Name: Kamal
Age: 5 days-old
Gender: unknown?
CC: Ambiguous genitalia
Symptom: - Look unwell
- Vomiting
- Lethargy
- Losing weight

Learning Issues:
1) DDx
- Pseudohermaphrodism (Deep)
- Chromosomal abnormality: include Turner’s (Shammi)
- Congenital adrenal hyperplasia (Cangkul 2)
2) Androgen & testosterone
- Synthesis, secreted where, function? (Fui Fui, Syu Syu)
3) Embryology
- Development of sexual organs (Nicoley)
4) Anatomy & physiology of adrenal gland (Kan, Karen)
5) Investigations (Viran)
- Karyotyping
- Genetics
6) Management
- Of Psychosocial Issues (David) & ethical issues (Rose)