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Congenital Hypoalbuminemia


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Have a full term newborn (uneventful antenatal period, well nourished mother) LSCS B.Wt 3.3 kg, mild resuscitation required at birth (Bag & Mask) APGAR's 6/10 & 9/10 needing ventilation with 22/6 FiO2 50%. CXR showing a little fluid. 2-D ECHO Color Doppler Normal. No apparent obstructive lesion on direct laryngoscopy. Developed generalized edema on day 3. s-Albumin 2gm% and s-Calcium 5.6 mg% with with normal LFT, normal RFT, No urinary loss of proteins, no ascites or effusions. No sepsis. The child is on full orogastric tube feeds since day 3 of life. Cannot not figure out the cause of the Hypoalbuminemia.

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