A Preemie that Kept Coming Back

Overview

A 31-week preterm infant does well in the NICU, gains weight appropriately, and goes home at 36 weeks postmenstrual age. But within days, the parents are back with concerns: minimal weight gain, episodes of hypothermia, and brief apneas. A 24-hour observation shows the baby is fine—gaining weight, no problems. Sent home again... and the same thing happens.

What's going on? Why does this infant thrive in one place but struggle in another?

Work through this case with seven questions that will challenge your diagnostic reasoning and remind you why sometimes the most important clues come from the simplest questions.

Important Notes:

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• Each question builds on information from previous questions

• The case follows a realistic clinical progression with laboratory findings and management decisions

DISCLAIMER: We do not guarantee that the "correct answer" in a quiz is 100% correct. Never base your clinical decisions on a quiz!

Quiz Authors: Katarzyna Piatek @piatkat
Expert Revision by: @Stefan Johansson