Cretinism Congenital hypothyroidism

• Facts:
  Usually secondary to maternal iodine deficiency
• History / PE:
  Early findings
  Persistent physiologic jaundice
  Coarse facial features
  Constipation
  Somnolence
  Feeding problems
  
  Late findings
  Persistent umbilical hernia
  Short stature
  Delayed milestones
  Wide set eyes
  Mental retardation
• Differential Diagnosis:
  Down's syndrome