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Everything posted by delhinn

  1. Whoever reads this blog (actually not a blog), kindly shift this discussion to forums. Lumbar puncture was done as part of sepsis work up. CSF had only 20,000 RBC. It cannot account for 600 cells in CSF. Never seen a CSF picture like this with increased cells and normal biochemistry in CSF and then all cells just vanishing (0 cell count) within one week of treatment.
  2. Preterm 32 wks born by NVD. No H/O leaking PV or fever in mother. TLC on day1 was 48000, on day 2 was 62000, on day 5 was 35000. Had about 75% neutrophils, normal platelets, 5% metamyelocytes. Started on Cefotaxime and Amikacin on day 1. LP done on day 4 of life showed cell count of 600, all lymphocytes, protein of 187, sugat of 63mg% ( Pre LP RBS 92 mg%). Would you think of starting Acyclovir or treat as bacterial meningitis. CSF HSV PCR later came out to be negative. LP repeated on day 7 of life showed no cells with protein of 127 and sugar of 96mg%.
  3. Can anyone also post the functional echocardiography training videos.
  4. Rule out congenital candida infection. Dr. Rajeev Malhotra Neonatologist
  5. delhinn


    yes, it can be a H-type TOF, which can be diagnosed by endoscopy. D/D : Pierre-Robin syndrome, neuromuscular disorders e.g. spinal muscular atrophy, trisomy 18, other disorders involving inco-ordination of sucking& swallowing
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