1 month child, stopped feeding
Chief Complaint A 1 month old male child was brought by the parents with the complaint of no feeding and has watery stools with blood. He was only on breast-feeding for 15 days and then stopped feeding. Vitals Vitals are wnl Examination Physical examination shows abdominal distention Investigations Hb: 7.4 g/dl. WBC: Normal C-reactive protein: 16.9 mg/dl. AST: Normal ALT: 144 u/l Albumin: 2 g/dl. C-reactive protein: 3.8 mg/dl X-ray shows descending colon wall thickening & small bowel gas. Treatment What next should be done?
good case . early feed intolerance with positive crp n low hb with abdominal distension n occult blood in stool lays the foundation to suspect nec . whats the platelet count . another close d/d late onset hemorrhagic disease of newborn . need to carry out other investigations too . like pt aptt blood c/s stool for occult blood usg abdomen serum lactate serum electrolytes . admit the child keep npo place nasogastric tube in situ watch for bilous aspirate inj vit k inj piperacillin inj netilmicin inj metrogyl whole fresh blood transfusion iv fluids .
COLITIS WITH SEPSIS USG CULTURE AND SENSITIVITY TEST. NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND TREATMENT PLAN.
POSSIBLY ... COLITIS WITH SEPSIS DD NECROTIZING ENTERO- COLITIS.. ADVISABLE 1. U. S. G 2. CULTURE. AND. SENSITIVITY. TESTS
NEED'S.. STOOL EXAMINATION STOOL..C AND S ..EXAMINATION.. USG..ABDOMEN..
Walamycin / colitis too feed
? intestinal obstruction Plz attach x ray image if possible Which may more helpful .. Do USG abdomen do x-ray abdomen erect
Top feed
? Necrotising enterocolitis.. secondary to septicemia... Send blood culture and sensitivity USG abdomen Coagulation profile Baby should be kept nil by mouth And start IV fluids and IV antibiotics
Get ultrasound abdomen done
Do usg abdomen For NEC rule out blood Culture PT INR CBC LFT...treat higher antibiotics, i.v fluid NPo,FFP transfusion,AG monitoring
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