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?

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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.

Thanks Dr Kute Ankush
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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

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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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