Necrotizing enterocolitis Quiz: Ace Your Exams
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A 2-week-old neonate is brought to the emergency department for evaluation of fever, feeding intolerance, and abdominal distention. He was born at 37 weeks to a healthy, 34-year-old woman, G3P2, via uncomplicated spontaneous vaginal delivery. He had been doing well until 2 days ago. A full sepsis and meningitis work-up is initiated and is unrevealing. The neonate has an episode of hematochezia 8 hours after initial evaluation. Vital signs are notable for a temperature of 38.3 °C (101 °F), heart rate of 140/min, respiratory rate of 42/min, and blood pressure of 65/40 mmHg. Lab results can be seen below. Which of the following is the most appropriate test to confirm the diagnosis?
| White blood cells (WBC) | 15.5 x 103/µL |
| Absolute neutrophil count (ANC) | < 1500/µL |
| Hemoglobin (Hgb) | 14.5 g/dL |
| Hematocrit (Hct) | 52% |
| Platelets (PLT) | 125,000/µL |
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