Discussions By Condition: I cannot get a diagnosis.

please help us....

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: nikhilnj
  • October 8, 2006
  • 04:51 PM

Dear sir/madam.........
according to u .........i give a neonate history.......
due to decrease amniotic fluid.......docter decide to do caesarian.....on dated 5th october........10.00pm
new born child........was pale.........his tongue was markedly pallor....SIGN OFAcidosis...........
he wasn't cry after birth....
but hand and foot movement present....
o2 was given at that time......both lung functioning properly.......
cyanosis =absent
he was immediate admitted to NICU........
AT 10.30PM.......
HIS REPORT.........at 12.00am.....
RBC..0.8million/cumm........
HB...2.5gm/dl
WBC..33800....
PLATELET......195000.....
his mother blood group...."o" positive........
neonate blood group......."o" positive.......
immediately at 1.30am 40ml blood was given.........
second day his Hb.raised upto 6.9gm/dl..........
same day at 10.00am.......another 40ml of blood given........
next day his Hb raised up to 11.2gm/dl.........
raised......RBC count.........
WBC..19800........
WHAT WAS LIKELY CAUSE OF DECREASED HB AT BIRTH....???????????????
THERE WAS NO ANY SIGN OF INTERNAL/EXTERNAL BLEEDING..........NO POSTPSRTUM HAEMORHHAGE..........NO PLACENTAL RUPTURE...........NO HISTORY OF JAUNDICI\E/BLOOD TRANSFUSION.............
RENAL FUCTION.........NORMAL....
BRAIN SCAN...NO SIGN OF EDEMA..........
other organ function normal..........
PLEASE GIVE PROPER ADVICE TO INVESTIGATE.......UNDERLYING PATHOLOGY OF DECREASED HB .........
THANKING YOU....
YOUR FAIYHFULLY
so give..me........DIFFERENTIAL DIAGNOSIS..........
HOPING REPLY SOON

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