mullerian duct agenesis

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      Gokul,Bogra was admitted in RCH on 23.!."# through the $%&

    with the'omplaints of Generali(ed

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

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    ''ording to the statement of the

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

    generali(ed )odya'he whi'h is asso'iated with fe*er.e*er is low grade

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

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

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

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    She has no history of menstruation through

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

    pu)erty

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    $n e1amination  found her Height  !4+5

    6eight !2kg ,ll looking ,lethergi' %ulse#2)7min B%87#mmHg -emp"  RR"97min nemia,:aundi'e,Cyanosis is a)sent . -hyroid gland are not enlarged, ;ymphnode are not palpa)le 1illary 0 %u)i' hair is a)sent

    Breast are not de*eloped Skin 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 &iagnosis is

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