[1] A 6 month old infant has large, foul smelling stool and is not gaining weight. Sweat chloride level was 68 mmol/L. Appropriate nutritional recommendation include which of the following and why? change to elemental formula. pancreatic enzyme replacement. high-fat diet. low protein diet. low carbohydrate diet. [2] A 7 month old infant receives chronic [...]
A 1 month old male child presented with the history of abdominal distension associated with vomiting and recurrent chest infection and passing clay colored stool several episode per day since 15 days of life.On lab examination total bilirubin was 9.4gm/dl, direct bilirubin 3.2gm/dl and other liver function test revealed normal range. On view of biliary atresia USG was done [...]
A 6 years old girl presenting with history of abdominal pain, fever, lethargy and vomiting. On examination she was a very toxic child and had tender hepatomegaly. Her serial CBC shows dropping hemoglobin from 9.5 to 8 gm, dl, also platelets are dropping from 95000 to 85000 to 45000 and finally 35000, cumm. Her SGPT is 56 and 76 [...]
