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

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Question Category : Newborns
A neonate on live day 3 presents with dullness. On examination vitals are stable, crying,sucking,activity and neonatal reflexes are not satisfactory.Had pallor and hepatomegaly. 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.This high TLC was attributed to the error by cell counter, reading normoblasts as WBCs(as manual TLC later found was just 9000/cumm) . 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.PT & PTT before transfusions were 35 and 100 secs respectively. What is the further line of investigations & management and what is the differential diagnosis besides neonatal leukemia? Check Out the Answer
Question Category : Newborns
Lots of neonates have scanty hairs and some have plenty.some time parents ask what is the cause of less hairs and any medication for same what should we answer?some shaving once may increase them does it really work? Check Out the Answer
Question Category : Newborns
Which type of fluid should be given in a new born who has not passed urine after 48 hrs ringer / ns /isolyte -p. Check Out the Answer
Question Category : Newborns
Newborn, female, is lethargic,hypotonic from birth. She has normal apgars, antenatal-normal fetal movements. No dysmorphism. and systems are wnl. What's the dd/diagnosis? 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

Yes, under guidance of an infectious disease expert

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