I can appreciate Dilated bowel loops no portal vein gas no pneumatosis
any Gastric Residual, vomiting, bloody stools
check for electrolytes esp Na
Do CRP, blood Cs start antibiotics according to your antibiogram
serial x ray follow up
blood gas to check for metabolic acidosis
CBC monitoring to check for further drop of platlets
regarding pedia surgical consultation
in NEC I & NEC II they have no rule but if you can involve them if you have suspecion
NEC III THEY SHOULD INTERVENE EITHER PUTTING A DRAIN OR TAKE THE PATIENT TO OR
Treat the patient as a whole and do not treat the x ray