Dr. Shahid Alam (Pediatrics) needs a second opinion on this medical case.
Preterm 30-32 wk baby with b.wt 1.560 kg delivered by NVD to multipara had resp distress since birth.father says he was told that liquor was meconium brought to us after 6 hrs of birth.Kept on bcpap for 24 hrs and gradually weaned off.trophic feeds started but baby started having apnea.Suspected of NEC.antibiotics were upgraded in view of positive CRP and TLC 3600 which has been responsive to antibiotics but baby still having feed intolerance after restarting of feeds after 48 hrs and has bilious output around 9 ml in 24 hrs.Investigations below
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