Posted On :
02 Aug 2011
This is a 45 day old child who is on mothers milk and thriving well was brought to my office for vaccination.On general examination i have noticed ecchymotic patches on abdomen and back and small patches on knees which according to parents have been waxing and waning since birth,baby also has icterus,liverspan is normal.Ihave deferred vaccination and have ordered certain blood investigations{hb percent10.8,hct35.8,platelet count 2,40,000,prolongedPT -32 sec ,APTT normal,BT and CTnormal,liver function test revealed increased conjugated bilurubin 7.1and elevated sgot 114,u, s abdomen normal.What further tests should be done to come to diagnosis_?is proteinC AND S,CLOTTING FACTOR ASSAYS useful,how should i manage_? should i vaccinate_?
from dr.suman
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