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Radiological Case of the Month
Tom N. Hilliard, MRCP;
Michael J. Marsh, MRCP;
Paul Malcolm, FRCR;
Ian A. Murdoch, MRCP;
Beverly P. Wood, MD
From the Pediatric Intensive Care Unit (Drs Hillard and Marsh), and the Department of Radiology (Drs Malcolm and Murdoch), Guy's Hospital, London, England; and the Department of Radiology, Children's Hospital Los Angeles, Los Angeles, Calif (Dr Wood).
Arch Pediatr Adolesc Med. 1998;152:1147-1148.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 7-DAY-OLD boy presented with a 1-day history of poor breast-feeding. He was alert, with cold extremities, reduced skin turgor (Figure 1), dry mucous membranes, and a sunken anterior fontanelle. His weight was 2.66 kg, representing a loss of 25% from birth. The plasma sodium level was 174 mmol/L; urea nitrogen, 40 mmol/L (112 mg/dL); creatinine 111 µmol/L (1.25 mg/dL); leukocyte count, 12.3 x109/L; and fibrinogen, 0.98 g/L (reference range, 1.5-4.5 g/L).
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Figure 1.
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A blood culture was performed prior to administration of intravenous broad spectrum antibiotics. He was treated with intravenous fluids containing 40-mmol/L sodium, at 275 mL/kg per day. Ten hours after admission, his plasma sodium level had fallen to 156 mmol/L and 4 hours later the neonate had 2 brief generalized seizures. Rectal diazepam, . . . [Full Text of this Article]
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