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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question Category : Newborns
What are the causes of excessive crying and what is the management of this? Check Out the Answer
Question Category : Newborns
Please can you tell me the conditions in which apgar score may be falsely low and falsely high? Check Out the Answer
Question Category : Newborns
What are postural reflexes in neonates? Check Out the Answer
Question Category : Newborns
Which is better an IUGR or a Preterm baby, Give reasons for your answer. Check Out the Answer
Question Category : Newborns
What could be the reason of large size foetus in non diabetic mother when genetic ultrasound & genetic test for down syndrome is found normal? Check Out the Answer
Question Category : Newborns
There are innumerable editorials on perinatal asphyxia. How do we presently grade perinatal asphyxia? Have we reached a consensus of grading of asphyxia on the basis of apgar scores? what does the IAP say on this? Check Out the Answer
Question Category : Newborns
Dose the sucrose acts as an analgesic component in treating the pediatric age group patients? Check Out the Answer
Question Category : Newborns
When do primary apnea of prematurity appears during newborn period (onset)? Check Out the Answer
Question Category : Newborns
What is the new recommendation for exchange blood transfusion indication (especially in treatment of neonatal hyprebilirubinimia), and also the new chart of photo therapy & exchange blood transfusion? thank you. Check Out the Answer
Question Category : Newborns
1. Could you please tell me the names, exact period of closure of different fontenellae of the neonatal skull? How much rise in neonatal head circumference(in case of meningitis)should be suspected for hydrocephallus? Closure of different skull sutures? 2.Could you please explain the findings of C.S.F. examination in neonatal meningitis, particularly in low birth wt babies, preterm babies? Check Out the Answer
Question Category : Newborns
What is the daily glucose requirement of a newborn during the 1st 1 week of life/How will we adjust the fluid accordingly? Check Out the Answer
Question Category : Newborns
Hello, Is just palpable spleen considered normal in all pedia. age or only in neonates?? thanks a lot. Check Out the Answer
Question Category : Newborns
Newborn baby delivered vaginally with thin meconium stained liquor, with intrapartum suctioning and needing no resuscitation at birth developed tachypnea and grunt after 8 hours of birth.SpO2 fell down to <88% and was put on SIMV. Developed GI bleed after another 8 hours given blood transfusion and Vitamin K was repeated. CRP negative. Hemogram WNL. X-ray chest unexpanded lung with cardiomegaly. Treated with Inj. Augmentin and Amikacin. Nedding Fio2 >0.6 (today on 3 rd day). She had GI bleed again two times. has been given FFP. PT normal. Advise DD and further management. Check Out the Answer
Question Category : Newborns
Which combination of antibiotics is most appropriate as chemoprophylaxis in a new born baby when mother had prolonged rupture of membranes (> 12 hours)? The setting is a 15 bedded maternity nursing home. Check Out the Answer
Question Category : Newborns
I need information about low birth weight neonatal profilaxis inhale NO treatment. Check Out the Answer
Question Category : Newborns
24 days old child is suffering from following ailments- Fever-2 days mild abdominal distension. Child feeding well Clinical Exam. shows nothing significant, except fever and mild yellowish discoloration of skin Pathology-TLC 11200 Poly-20%, Lymph 80% CRP positive( 7.0 U) Serum Bilirubin - 3.7 mg%(Total) 0.6 mg%(Direct) 3.1 mg%(Indirect) What should be line of treatment, and antibiotic of choice ? Check Out the Answer
Question Category : Newborns
Why IVF is given in preterm babies for first 2 to 3 days - why 10% dextrose is preferred over 5% in preterm babies? Check Out the Answer
Question Category : Newborns
How common is utero-vaginal prolapse in newborns, and what are the causes? How commonly can it occur in babies with lumbar meningomyelocele with neurological deficit? What is the treatment of UV prolapse in newborns? Check Out the Answer
Question Category : Newborns
A neonate on day 3 presents with dullness. On examination we found the vitals are stable, crying, sucking, activity and neonatal reflexes are not satisfactory. IV antibiotics , iv fluids are started and CBC, CRP done. Vitamin K is also given. Hb is 10.3g/dl, TLC is 2 lacs/mm3 with normal platelets. 40%normoblasts are seen and there are no atypical WBCs seen.(Blood reports checked thrice by different laboratories).The baby showed improvement initially but on day 5 he had massive hemetemesis and the child was in impending hemorrhagic shock which was managed by FFPs and packed red cells. What is the further line of investigations & management and what is the differential diagnosis? Check Out the Answer
Question Category : Newborns
Dear madam, I have NICU setup in summer season it's difficult to maintain temp. I cannot afford an A.C. in NICU. Can we do wet mopping if child is running fever? Check Out the Answer

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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

No, it should be used only after drug sensitivity report

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