A 6 days old neonate weighing 2800 gm (bih weight 3200 gm) was brought with the complaints of fever, poor feeding and poor activity. There was no history of vomiting or diarrhea. Axillary temperature was 39degC with depressed fontenalle, sunken eyes, decreased urine output and decreased skin turgor. Her mother has the history of decreased milk production. What is your diagnosis?
Neonatal sepsis
Galactosemia
Fever & dehydration
Acute renal failure
Ans: A. Neonatal sepsisInitial Signs & Symptoms of Infection in Newborn InfantsGeneralCardiovascular SystemFever, temperature instabilitydegNot doing well, poor feedingdegEdemadegPallor, mottling, cold clammy skindegHypotension, tachycardiadegBradycardiaGastrointestinal SystemCentral Nervous SystemAbdominal distentiondegVomiting, diarrheadegHepatomegalyIrritability, lethargy, high pitched cryTremors, seizuresdegHyporeflexia, hypotonia, abnormal Moro's reflexdegRespiratory SystemHematological SystemApnea, dyspnea, tachypneadegRetractions, flaring, gruntingdegCyanosisdegPallor, jaundice, splenomegalydegBleedingPetechiae, purpura