Concluded Case

galactosemia with neonatal sepsis

40 days child with history of discolouration of skin since 20 days with diaper staining now having abdominal distension ,scrotal edema, altered sensorium. D/D

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Concluded answer

baby had a cataract . developed jaundice and was progressive. was diagnosed to be due to galactosemia

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neonatal septicaemia with paralytic ileus induced bilateral hernia leading to scrotal swelling and altered sensorium due to neonatal meningitis

neonatal jaundice rule out breadt milk jaundice Galactosemia sepsis inborn erors of metabolism Gt6pd def Rh incompability

Seems conjugated hyperbilirubinemia, neonatal cholestasis syndrome (d/d neonatal hepatitis , sepsis, TORCH, BA, metabolic liver diseases )

Galactosemia

baby had a cataract . developed jaundice and was progressive. was diagnosed to be due to galactosemia

Septic work up, LFT, blood culture, Urine RandMand culure, US abdomen. Review report..

It is a case of galactosemia. With conjugated hyperbilirubinemia and sepsis

Also has cataract

Kernicterus with liver failure Check for biliary atresia

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