Poor Feeding in Pediatrics — Case | Neonatology | SMLE Q#18706

SMLE Question #18706

Pediatrics Neonatology

Objective: OBJ-NEO-CAH-CRISIS-001

Last updated: February 2026
A 5-day-old newborn is brought to the ED with poor feeding, lethargy, and repeated vomiting. External genitalia are ambiguous with labioscrotal fusion and clitoromegaly. The infant appears markedly dehydrated. What is the most appropriate immediate next step in management?

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