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Radiological Case of the Month
Larry E. White, MD;
Jorge E. Montes, MD;
Enrique Chaves-Carballo, MD;
Harry J. Presberg, MD;
Lionel W. Young, MD
Am J Dis Child. 1987;141(8):903-904.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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A 10-day-old male infant was brought to the emergency room in shock. He was the product of an uncomplicated gestation and delivery; his birth weight was 2660 g. He had been well until one day before admission, when he became listless and tachypneic. On examination he responded poorly to stimulation, blood pressure was unobtainable, pulse rate was 160 beats per minute and weak, respirations Were 52/min and shallow, and temperature was 36.9°C. His weight had decreased to 1900 g—760 g below his birth Weight. Arterial blood gas values were as follows: pH, 7.07; Po2, 71 mm Hg; and Pco2, 31 mm Hg (breathing 100% oxygen). Leukocyte count was 20.1x109/L (20 100/mm3), with 0.08 (8%) band forms, 0.05 (5%) metamyelocytes, 0.60 (60%) neutrophils, 0.22 (22%) lymphocytes, and 0.04 (4%) monocytes. Laboratory values included the following: serum creatinine, 250 µmol/L (2.8 mg/dL); serum urea nitrogen, 22.8 mmol/L (64
. . . [Full Text PDF of this Article]
Author Affiliations
Contributors; Section Editor
Contributed from the Departments of Neurology (Drs White and ChavesCarballo), Pediatrics (Drs Montes, Chaves-Carballo, and Presberg), and Radiology (Dr Presberg), Children's Hospital of the King's Daughters and Eastern Virginia Medical School, Norfolk.
Footnotes
Accepted for publication Jan 24, 1986.
Reprint requests to Department of Radiology, Children's Hospital Medical Center of Akron, 281 Locust St, Akron, OH 44308 (Dr L. W. Young).
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