Okay, welcome. My name is Devine. This is episode 415 of the Devine

Intervention Podcasts. And in today's podcast we're going to be talking about the

rapid review series. We'll be continuing our review series. And this is going to be series 84.

So let's jump right into it. What if they give you a question about a newborn?

And they tell you that this newborn has seizures, you know, that were controlled after, you know, they gave appropriate electrolyte

a replacement.

And then they tell you that this child that's

aged six months, you know, has had like two bouts of pneumonia

with a pneumocystasis and gerevezzi and then they tell you what's the most likely

finding on a chest x-ray. If you see stuff like that I really hope you're thinking about the George Syndrome. And the most

likely finding on a chest texture will be the absence of the cell sign of the thymus.

Right, that's pretty classic for the George Syndrome. So what's the battle phase?

Well remember the George Syndrome happens when your third and your fourth foreign jail

pouches do not form. Your third and your fourth foreign furniture pouches do not form. So if they do not form, you

will have no thymus. That's why you have no cell sign on a newborn chest x-ray and also they have no

parathoids right you have no parathiroids you not meet PTH if you don't make

PTH you're gonna have a lot of problems with low calcium and that can cause seizures.

I remember low calcium on an EKG would show up as a prolonged QT interval.

As you've heard me say many times in the past,

most of these notable electrolyte anomalies that have

high poi in the name are all associated with a prolonged

QT interval like hypocalcemia hypoglycemia hypomagnesemia hyponitremia, though does not belong.

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