Concluded Case

DOL7 WITH HISTORY OF COW MILK INGESTION H/O LESION OVER FLEXURE AREA ON ADMISSION spo2 75% on air CRT =5 sec HR=200/min RR=68/min

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Concluded answer

? Purpura fulminans

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Seems child got intubated . Though the blakish lesion on skin appears to b pseudomonas contamination . Crt is delayed with tachycardia . Baby is in septic shock . Give a bolus of ns 10 ml/kg . Followed by iv fluids n ionotrop like dopamine . Monitor mean arterial pressure . Iv antibiotics inj piperacilin n inj netilmicin . Cbc crp blood c/s arterial Blood gas . Look for lactate level .

thank you doctor Lactate level for??
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

It's septic shock. Urgent intubation and start with SIMV mechanical ventilation.saline bolus 20ml/kg, again repeat with 10ml/kg watch for liver and followed by ivf and inotropic support dopamine and norad. Adv CBC, CRPQ, ABG, s.creat, blood culture, SGPT. put arterial line for invasive bp. Start iv antibiotics like pipzo+vanco+metrogyl, mupercin oint locally. If still arterial mean pressure low, look for lactate in ABG, increase inotropic support, go with vasopressin in large venous lineif possible insert central line.

IT'S A..CASE OF.. COW MILK..SENSITIVITY.. FFE.. SEPTIC SHOCK.. NEED'S.. MANAGEMENT ACCORDINGLY WITH EXPERTS OPINION..

Tnx Dr Madhukar Deshpande
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Severe form of milk allergey with sec. infection with septic shock. ( since delayed CR, Tachycardia) Do, CBC, CRP, S. Creatinin, S. Electrolite, SGPT], S. ELECTROLIT,blood cultural Give broad spectrum antibiotics, like, Mero/Vanco, T. Bact ointment for LA. Symptomatic(

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Septicaemic shock could be menngococcaemia Needs hospitalisation,oxygen, iv,fuids,NS bolus,crystalloids iv antibiotics, dopamine hydrocortisone

Milk allergy caused septic shock

Septicemia with Shock

Thank you doctor
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At present it’s septicaemia causing septic shock

Sepsis with shock....send blood culture...treat with ns bolus,ivf,broad iv antibiotics,.....wts basic blood investigations....ionotropic support...

Thank you doctor
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