NEONTAL JAONOICE

Tesm

A6day old mmale baby

baby of Ma Laksl i fom
Velligona wunse heliabiea good preseuted utte

HOP I
24/o3] 2023 y
Karur GMC at b 05am Blopd Greup of Mother tve
Blend Gaup toby - B Hstort ef ellowk dia coloatoi
sen ev abeomem , ees noticed y
te nottuu atter 48

- No Ho Paller (Wewalyte as)

- No H|o atong Acude piliaabin Encephalopy
No Hlo PooT fudy
- Np H/o Iuconotable tay -Matel
Tove Stans
one
-No Hlo Conlsin &Tome Aonomalty]
Jo H/o Hrgt olowea ine 2HoES TAS1 .
colewnd Sools,
(eytarie btenosrs)
- No H/o 7ureh, nak, Hypoeia (apsis)
- No H/o Dayad pasage oldism)
- No Ho Iwsbmental o e I
Delivey-CCepaaleiratoma)
- No tfo Ckay doloured stocls (oöstmctue duydi'e)
PAST HISTORY CwT Stool Maybe ple
TREATMENT HISORY

to the ICU. AcwSNdig to te Mothen the clued uoas

Bupt wndo kigt prelabyphototrpy
- o H/o
IV
Admirsthratn
 NARrTA HIsTORY

. Aqe at Marvige i 9yeans

Non Gonsanguinous rerig
al cld lsista: 23 yeos

ANTENATAL HIsTORY
- LMP: 02lo7/2022
EDD 0/04 | 2023.
(enc )
Mother Is Bopkad and Inmmsed
G.P, L, Ao
Paegnancy comfimad by UPT (ay:)
spentanteus plagnamy
TPurnester
- No H/o feven e Rash
Mo Drug Tntake
Ho Radict txpoyure.
Rsqulor Intake o fA tablets brpadad
pubdasyndtes
No Hlo Hyperemegis Gravidaram Exani imiting
Scan takon at sl month
dose at sd Mot

(ounoter
Quckua felt at 4 Montt
IFA tablets taken
No Hlo GDM, PeH

No H/o Anemia.
- Ne lo nui Micturiton
Td 2" dose at st Montt Month
dne at sh
 Trumser
Scan Dont cat t Month
doni
- Grath Scam dene af t

- AN Vrats
- H}o AneMia present (Hs-891)
Ho Bood Tramsfusien at qta Montl -units ,2 tims
2 dags Intelval .
- No Ho Budiy Pu
PV

- No Hjo GDM PIH.

NATAL HsTOey

"A full tm babg

Nemal Vagnal deling
baly crucd soom
Gestatenal Age- 38 wks ; Bit order -2
n houn

"No Hjo Birtt Aspy.

" Mecouwm pamed itun 24 heus ef fe - Nomal Colour
Urie pased oitwn 4s hous- Nomal Colour
No HJo Umtbilal dishag
. No H|o Cyaness

hours ot ife Yallowtsudaolorot

bdanen, ys or wlh He baby as
Adinited àthe NICU
.Moter was Adtsed to lortin Breasfteding.
 BeG,0ev, H6PATITiS B- Veatcine t adminiserea
(ta hemnhcg
NurRITONN t(ISCORy

xdawly &rsastfud-iox lday

-No Conplunudoy teds
10x

foMIY HssoEy
. No aJo
Nom- Consangunous Marig
simila Complawta wn fanly
Ne Hjo Hemolytic DiseaBea
. Nb H}o Nugnatal Jauncice in påevious clied
Prdige Chant :
Laliey
Bdays old.
Socio-E cONOMEC Setos
4 Membe%
Nuclear
Mon tly ncome:
- Pe 19,000
Capita Iuone: 2,s00
Edu cat,: Mothr B.Com,
fater t.E.6 Housub
bádig
SES : Ca I 2411-
I486 )
-H8wawng 8kaundlares
’Q06mw, Pucca Hewe,Tild Floor

Sumiay
6day o Tem Mals
baby o
COT HssOey A

No Signfd Contact Mstom

post rda
phdowap1for
 Fx AMINATION

GENCRAl ExaMnATJON
Adet, Atie, Afebale
Mateately Sutt
No pallo1
Ictcus presen
lyanes's

No pedal ¬dema
Vitals Reirotoy hale Sa brates in
Pule ah l20 RBecas min. KyavUY
Tenp: 31.2'c hat S-2

Andkepenchy

Chsnt cirunterene33cm.
- Head Circunfrene -3Stm (slu o- 1sD)
Head to fst tranaten)
Spen, aornboid (2'5cm25e)IghoaE
shope
Gpen .Touiangulat, omis tip ot attte fing. m
- No Cephalhematona , ne caput SutCedneua ko Sugaeol
- HesR : Nosmal
fACE : No
Dysmosplic faies Nasal Bndg
’ Dral Carity- (gt palate
Lps Q PALATE: Nomal
TonuE: Nosma
Lumes: Nmal
UMBILICAL CoeD:
Nomal
PaMAE CREE : Preset
PLANTAR CeGASE: Yst all ovea le
.SksN AND SRUNE : Ngmnal
 al in
are Resenamt
as
expawaen ChestNgmal
Midlie -Trache
n
Palpahoin:
ek' wia Veuns
|enred )Sinuses Scans No -
Midl wmbe Atpears
to Irachea
Moyements Cuest
Syinmetic Bilaleral,Mavegaie- M4
Jaspackie:n
Noirnal. Caty Oral
NornelNasalseptum Bdge, -Wasa
REcPRATORY
:EM & 3)
. Psymnetic: Glabbllar
Tap ()
Rafbe ToniSymetic
c
-Ruylexes
D4tNeuoegcat
at focat No-
CN6 »)
Heard. AvscvA PERCUSSION-
a Bowel TUON- PALPAToN
No
Abdermen oneY Skin
lws Umbi Positie
LAD - Saas Soft
Abdernen: )
ExAMINATION SysTEMIc
 Aus cultatu'n
- Nomal Vesicular Beat Sounds erd.
- No Added kounds Rit feetrs
Vsteuear
Audes
CVS ExAMINATaON
S,,S, keand
No Musmuzs luand.

A6 day old kull to male baby Mas taks

baby ofof Mas- Lakehms admitte
YKlowish dscotora of Ski oue
. NICU with complanta

Neonatal apbibin|Pgiolgcal Joundic

JavESTaGA TTDAN S
Total Gvum Bilrubin lerels , Drrect, ndrect Rlenobsbitenu
ú)

()Complele henigran Mone omman

(M) PoripResal smea CAremia)

cells
24-72Rs
(V) (amdem Mars peehoya bly- IFM.
-Adeyuate Hydraton
Paetothera
Double Volime Thamafunion
Cuphalhematom
. Card Bleed.
Cholxtas
Jaundie in

hour'

T68 lased
Sovel ast prcant aspe ag
kerucdes
"fatures od Biiusn knapelepejty os
Tclous Appeciable beyomal 2 aks >3wks at

-Pe- Ezcangg Houwn Thansfusim is doue

's)4e Past Exdhon