Case 2: Hematuria in a Preterm Neonate
Autor: | Chaitali N. Mahajan, Joseph Wang, Krishna Dummula, Vishal Pandey, Rupesh Raina |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Creatinine Respiratory distress business.industry 030232 urology & nephrology Urology medicine.disease Pulmonary hypertension Surgery Sepsis 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine chemistry Oliguria Pediatrics Perinatology and Child Health Velamentous cord insertion medicine 030212 general & internal medicine medicine.symptom business Blood urea nitrogen Hydronephrosis |
Zdroj: | NeoReviews. 18:e546-e548 |
ISSN: | 1526-9906 |
DOI: | 10.1542/neo.18-9-e546 |
Popis: | A 26-week-old female twin is born via cesarean delivery due to nonreassuring fetal heart tones noted in the 38-year-old mother. The pregnancy has been complicated by unequal placental sharing and velamentous cord insertion for this twin. Apgar scores are 2 and 7 at 1 and 5 minutes, respectively. Her birthweight is 25% lower than that of her twin. Her clinical course is complicated by respiratory distress syndrome and pulmonary hypertension. On day 12 after birth, she develops fluid- and pressor-resistant hypotension secondary to fulminant sepsis. Notably, her international normalized ratio (INR) is 2.4 (normal |
Databáze: | OpenAIRE |
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