A 5-month ORPHAN failure to thrive female baby with recurrent admissions in ICU for diarrhoea and pneumonia was recommended for adoption by a tertiary centre in Ranchi. The baby was brought for the cross exam and 2 nd opinion a few days ago by London based Indian couple. The baby weighed just 3.5 kg, had very stormy life till now. She was admitted 4 times and in several ABGs and other invest done I could find major derangements as below HCO 3 or bi-carbonate always below 10 except in 1 report indicating severe acidosis. pH was about 7 in one and always about 7.2 or lower. K in most was 3 to 3.5.
Na in most 125 and lowest 119. Compensated CO 2 always below 40 as expected to compensate for metabolic acidosis. Ca mostly 7 to 7.5 No proper diagnosis in attached single discharge was written. CXR has done previous day had severe pneumonia and was coughing badly. CBC WBC always above 22 K…
