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Old 08-08-2012
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Pediatrics case of newborn with vaginal discharge

A baby girl is born to a 32 year old primigravida at 37 weeks gestation.The pregnancy was uncomplicated and delivery was uneventful.After examination of the baby ,there is found non-purulent vaginal discharge which is odorless.A more close thorough work-up shows bilateral enlargement of mammary glands.There is no evidence of any congenital abnormality,no respiratory distress and baby is otherwise normal.What is the next step of management ??

A. Examine the baby under sedation for foreign body.
B. Examine the mother for estrogen secreting tumor.
C. Administer the baby broad spectrum antibiotics.
D. Suction the mouth and nose of the baby.
E. Give 1 mg i.m. vitamin K to baby.
F .Ask the mother any H/O of DES intake.
G. Evaluate the baby for possible intraabdominal tumor.

post ur answer with detail......
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Old 08-09-2012
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D.Suction the mouth and nose of the baby. - It is not unusual for babies to have menstrual symptoms because of estrogen from mother crossing the placenta to reach the baby. Follow the normal protocol of suctioning the mouth and nose of the baby followed by IM Vit. K.
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Old 08-11-2012
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Agreed ..Answer is D.
Its normal to baby to have vaginal secretion and vaginal bleed in after birh.Which is because of affect of maternal hormone in babay..
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