6 MONTH MALE BABY BODY WEIGHT IS 4 KG HISTORY OF TWO EPISODE OF PNEUMONIA PREVIOUSLY. NOW PRESENT WITH HEPATOSPLENOMEGALY WITH BILATERAL CHEST CONGESTION. PLEASE TELL ME ABOUT TREATMENT AND INVESTIGATION.

9 Likes

LikeAnswersShare

Failure to thrive with recurrent pneumonia Rule out TB,Congenital heart disease,Cystic fibrosis,HIV, primary immunodeficiency CBC,Blood culture, electrolytes,CXR,Echo,HIV of mother, Koch's workup Treat with Oxygen,IVF Inj Ampicillin and gentamicin Inj lasix if cardiomegaly or pulmonary edema on x-ray Find out the underlying cause and treat

Flaring of pneumonia with septicaemia Adv CBC, CRP, ESR, CHEST X-RAY , BLOOD FOR CULTURE AND SENSITIVITY TEST Rx Hospitalise the patient o2 inhalation, nebulization with levosalbutamol, IV antibiotics

As per clinical status baby must needs HOSPITALISATION CLINICAL Diagnosis: pneumonia with ?Pleural effusion with ? Pulmonary.kochs Investigation; CBC- ESR- CRP- MP-LFT-s Electrolyte- X-RAY chest p/A- blood culture& sensitivity. -USG abdomen.- BUN - urine/R.(may be ketones bodies present) * management: Nebulisation with levosalbutamol - 10-15min twice a day. -O2 inhalation- ivfluid- antibiotic preferably Cephalosporin group along with bronchodialators - rest of treatment as per investigation & clinical findings of pt.

Looks like SMA with a paradoxical breathing pattern and tachypnea without any facial features of distress. SMA can lead to reccurent pneumonia(aspiration) work up sma...FTT due to difficulty in feeding, GERD

Investigate forSepsis CBC, ESR, Blood culture, X-ray chest pA view.Mx test O2 inhalation, nebulization,iv antibiotics, Wait for investigation treat accordingly. Take detailed immunization history also.

1 Rule out Immunodeficiency states ...2....Look for Floppy infant ...3..Do Vitamin D Levels...4...Septic profile at present .

Cbc. Cxr, gastric lavage for genexpert, Mt, blood culture, Usg chest d/d.. Sepsis, tb,

Basically c/o FTT with repeated RTI Congenital heart DS. Primary Immunodeficiency HIV. Hemoglobinopathies. Cystic Fibrosis.

Sir any previous history of chest infection What about CVS finding Baby present in CHF not

Repeating RTI one should suspect CHD,Do a LFT & Fibroscan of liver, blood tests for thalassemia and malaria and Rickets

Load more answers