9 day old fch having c/o bloody vomiting 3episodes Bloody stool 4 episodes since 1 day Lab= Hb-10 Wbc- 4800 Plt -28000 CRP-51 PT-17 APTT-34 INR-1.52 Urea -93 Creat-0.9 Ddimer-738 raised Usg-s/o mildly edematous dudenum O/E perfusion -good Pulse well felt Activity -N S/E NAD On Treatment = Inj mero, anika, levoflox, vit k FFP , PRBC, RDP given B/h/o- full term/NVD/ CIAB/ P/h/o- Nicu admission for dehydration fever with neonatal hyperbilirubinemia for 3 days received piperaciline, amikacine .. Provisional diagnosis- Late onset of sepsis with Thrombocytopenia with Anemia ? DIC Plz kindly give ur expert opinion and suggest
Haemolytic disease of newborn Further evaluation is required for diagnosis
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WELL DISCUSSED. IN DETAILS HELPFUL UPDATE
Dear dr Rahul how cum a baby land in dic on day 1 itself . Though severe hypoxia can predispose to dic . It's a case of early onset hemorrhagic disease of newborn . Though u have managed it well with vit k ffp and packed red cell transfusion . Better to send blood c/s . N focus should b to stop further bleed . I would advise u to go for usg cranium too to r/o intracranial bleed . Add inj rantac too . If bleeding has stopped start probiotics via nasogastric tube . Hyperbilirubinaemia might b due to sepsis as well as dehydration .give phototherapy n hydrate the baby properly .
Apparently DIC due to neonatal sepsis Pediatric ICU for specialist care
? SEPSIS .. WITH .. DIC .. NEED'S .. MANAGEMENT AS PER EXPERTS OPINION ..
Not inflammatory platelet count platelet and blood transfusion and investigate for bleeding diathesis
LOOKS LIKE NEONATAL SEPSIS WITH DIC.
Likely neonatal sepsis with DIC
Likely sepsis with DIC. Ionotropic support colloids, / BT. replacement Plasma therapy Evaluate for active bleeding source.
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