Pediatric M&M - Dr. Mofield

Case 1  - Bloody Diaper in the Neonate

Common causes of BRBPR in kids

1. Ingested maternal blood
2. Necrotizing enterocolitis
3. Milk protein allergies
4. Anal fissure

Key learning points

1. Hgb nadir at 6-8 weeks in full term down to 9g, premies drop faster and farther, 7g by about 3-4 weeks
2. Reassess potentially sick frequently
3. NEC is possible in full term, keep it in your differential!


Nec info:
Mortality 15-30%.
Pathophys: intestinal immaturity and over active immune response
Generally affects preterm infants, but not uncommon and increasing in frequency in full term infants

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Case 2 - 14 month old cold, seizing baby

History of an Takayasu arteritis and new seizures. ICH seen on CT

Takayasu Arteritis

Most commonly involved vessel

1. Aorta
2. Renal
3. Large arteries