Prolonged Ileus in an Infant Presenting with Primary Congeni
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Case Presentation
The infant was a former 39-week gestational age female born weighing 2835 grams (10th–50th percentile) after cesarean section delivery for fetal distress to a mother whose prenatal course was unremarkable. Specifically, the mother did not have a history of thyroid disease. The infant required routine care in the delivery room, did well in the nursery, and was discharged home on day 3 of life tolerating full breast milk feeds, voiding and stooling normally. The primary care pediatrician received the results of the abnormal NBS on day 12 of life and referred the infant to our hospital for confirmatory testing of thyroid function.

Physical examination revealed a sleepy infant that aroused with exam. Her neurologic exam was nonfocal. Heart rate was 122, respiratory rate 31, and blood pressure 63/43 and oxygen saturation was 100% while the infant was breathing room air. Weight was 2555 grams, a decrease of nearly 10% from birth weight. The skin was yellowish, soft, and slightly dry to touch. A soft, uniform, mobile, and thyroid gland measuring 3?cm × 1.5?cm was palpable in the anterior neck. Chest exam revealed bilateral breath sounds that were clear to auscultation with a cardiac exam demonstrating a regular rate and rhythm without murmur. The abdomen was distended with visible bowel loops and decreased bowel sounds in all quadrants. The extremities had normal tone and movement and were warm and well perfused, without evidence of edema.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381967/
Like
Comment
Share