I am mother bringing baby

Son: JL

CC: YELLOW POOR SUCK, baby always sleeping

Oncset: 2 days ago

Age: 2 days old

Dob: oct 7 at the vicente sottp

Religion catholic filipino

4th baby

Kg: 3000g

Mode of delivery: 4th no problem normal

Lagum ang baby stimulate then cry

39 weeks

Prenatal check: health center

Medications taken: iron multivatimns

No hypertension

Normal blood sugar

No drugs

Alcohol 2-3 months before pregnancy occasionaly

Hours oflabor: 2am abd pain dugo na gawsan og tubig 6 am arrived to sotto

9am deliverd born

Yellow until the feet

Clear when expose to the sun 1 hour (6am -7)

Di na mo totoy no crying pukawon pa

Urine color: mixed with feces

Feces: black 2nd day: green consistency: humok

Breastfeed: 2nd day wont breastfeed

Malunggay for th breastfeed

Immunization: bcg hep B

LESLIE

JL. JUNIOR

OCCUPATION: HOUSEHOLD

SECURITYGUARD

BULHOON ADDRESS

PAYAG RENT

ELDEST BABY: YELLOW BEFORE

HIGHBLOOD IN THE FAMILY

DIABETES FAMILY

ROOM IN DIRETSO

NO VOMITING

NO DIARRRHEA

LIHOK , PUKAWONON PRA MO LIHOK

39 WEEKS OF AOG

NO TB

BLOOD TYPE O+ MOTHER

BABY : B+

2ND TRI COLDS BUT HEAL

VITAMNS: IRON CALCIUM, MULTIVITAMINS

EVERYDAY CHECK UP

TETANUS VACCINE (PADUNG 2ND TRI)

NORMAL DELIVERY

NEWBORN SCREENING: NO RESULTS AFTER 1 WEEK

ALL FULL TERM

ELDEST 8 MALE ALL

PHYSICAL EXAMINATION

HR: 160-170

RR: 40-45

TEMP: 37 c

O2: 95-98 %

Bw: 2980

Length: 50 cm

Hc: 34 cm

Bp: was not obtaines

Apgar scor: 4 6 8

Skin: no rahses, deep yellow head to toe

Heent: caput/ cephalhematoma

Parietal: big bulge most likely caput succ

Hair: blck , thick

Eyes: icteric sclera

Nose: pantnt in middline, insert nasogastric bec hypoglycemis

HGT: 20 MG/DL

Ngt: inserted

Mout: pale pink, no tooth, no pealr sin the hard palate, no syndromic features

Ears: no problem, hearing test: nrmal

Neck: no significance, no webbed neck

Pulmo: clear breath sounds bilateral equa; chest expan, no deep subc contract
Cardio: PMI: 5TH LICS S S1 DN S2 DISTINT NOT CLEAR IN S3 , NO ARRYTHMIA, NO MURMUR

GI: ABDOMN GLOBULAR SOFT

LIVER: 3 CM FORM BELOW COSTAL MARGIN, TYMPANITIC IN TOHER AREAS

GENIT: NOn AMBIGUOUSNO DISCHARGE

EXTR: deep yellowing in palsm and soles warm to touch strong pulses pin nail beds no wounds
lacerations noted fingers and digits are complete

Muscuo: no tuft of hair noted at theabch no assynmetric in spine

Intubates and lethargix

Neuro: not apprecti in prim reflex, senosioum not good

Genereal survey:

Anus is patent

Trigger 3

Lab test:

Hematol:

Chem lab: total serum bil: 49.4 ml/dl

Direct cong:42 mg/dl

Indirect: 10.7 mg/dl

Retivulocyte: more than 23

Hgb: 12.6 g/dl

Urinalysis: dark brown urine

Liver panel: AST: ELEVEA 239 UNIT/L ALT: 55 U/L ALK PHO: 186 UNITS/L

PPT: ELEV 30.7 SECONDS

INFECTIONS: URINE CULTURE: E. COLI AT 10K-100K CFU

PERIPHERA SMEAR: MILD ANEMIA WITH MARK RETICULOCYTOSIS B=NUMEROUS IMMATURE

ERYTHROIDS

BLOOD TYPE: B POS RH POS

DIRECT COOMBS: 4 POSITIVE

HEME: ENDOCRINE THYROID NNORMAL

NBS: NORMAL

ABD ULTRASOUND: NORMAL APPEARING LIVER, NO BILIARY DUCTAL DILATATION AND PATENT ESSLE

NORMAL LIVER AND GALL BLADDER