A 4 day old infant born at 27 weeks gestation has been recei…
A 4 day old infant born at 27 weeks gestation has been receiving total parenteral nutrition (TPN). The following lab data is obtained: Glucose 150 mg/dL Chloride 110 mEq/L Sodium 138 mEq/L Calcium 9 mg/dL CO2 17 mM/L Triglycerides 125 mg/dL The adjustment that should be made to the TPN based on the morning lab values is:
Read DetailsBaby Girl T has a history of stage 2B NEC managed medically….
Baby Girl T has a history of stage 2B NEC managed medically. She has gradually returned to goal feedings, but then develops abdominal distention with nonbilious emesis. She continues to pass spontaneous stools. You recognize that her symptoms are most likely caused by:
Read DetailsA former 27 week AGA infant with a history of a midbrain str…
A former 27 week AGA infant with a history of a midbrain stroke is now 34 weeks corrected gestational age. He has developed macroglossia and has been diagnosed with failure to thrive due to poor weight gain. He has an elevated TSH with a low T4. The differential diagnosis for this neonate would be congenital hypothyroidism secondary to:
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