1 months baby having iugr wt : 1.400 kg ,not accept feed, investigations platlets 32000 ,suggest t.t ???

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ADMIT CHILD RULE OUT SEPTICAEMIA DIC INTERNAL BLEEDING CBC SEPTIC SCREEN ESR NUTRITIONAL HISTORY PBF HB ELECTROPHORESIS TREATMENT TREAT MALNUTRITION AND SEPTICAEMIA IF ANAEMIA GIVE BT AFTER BLOOD SAMPLE TAKEN HB ELECTROPHORESIS NASOGASTRIC FEED BROAD SPECTRUM ANTIBIOTICS IV
Sir can HB electrophoresis be helpful at age of one month
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DX : ASYMMETRIC IUGR. EXCESSIVE CRY + R/O : CEREBRAL IRRITABILITY. & R/O CREBRAL BLEED TOO IN V/O THROMBOCYTOPENIA. WORK UP WITH BLOOD CULTURES, & OTHER ROUTINE TESTS, SERUM CALCIUM, BSL. EEG. NSG IS MANDATORY. NICU CARE. TREAT THE CAUSE.
Failure to thrive , take history of mother's milk whether it is sufficient or not, rule out congenital UTI, chd , pyloric stenosis, sepsis ,treat accordingly
One month old baby with failure to thrive r/o uti n congenital heart disease apart from investigations suggested above.
Severe IUGR with thrombocytopenia, cortical thumb and sandal gap... Look for other congenital anamolies,RULE OUT TORCH
RT feeding IV Antibiotics Prevent hypothermia Treat hypoglycaemia if present Watch for DIC plate let transfusion
Agree@Dr. Ashok Pareek sir
Sepsis

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