Approach to hypoglycemia (pediatrics) Quiz: Ace Your Exams

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A 4-day-old newborn is in the neonatal intensive care unit for persistent hypoglycemia. Pregnancy and delivery were unremarkable. There was no maternal history of gestational diabetes. The infant was born at full term. Temperature is 37°C (98.6°F), pulse is 173/min, respiration is 37/min, blood pressure is 80/50 mmHg, and oxygen saturation is 97% on room air. Height and weight are at the 25th percentile. On physical exam, a cleft palate is noted. Genital exam reveals microphallus. Abdomen is soft and nontender without organomegaly. The cardiopulmonary exam is unremarkable. The blood glucose level is 35 mg/dL, and serum bicarbonate is 22 mEq/L. Which of the following additional laboratory findings would be expected in this patient?

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