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Pediatrics General 32196140

Premature baby of 34 wks was delivered. Baby developed bullous lesion on the skin and X-ray shows periostitis. What should be the fleet investigation ?

A
VDRL for mother & baby
B
ELISA for HIV
C
PCR for TB
D
Hepatitis surface antigen for mother
High-Yield Explanation
Ans. is 'a' i.e., VDRL for mother and Baby Bullous lesion and periostitis suggest the diagnosis of congenital syphilis. o The only option related to syphilis is option 'a'. o Following evaluations are recommended : - 1. Physical examiation 2. A quantitative nontreponemal test for syphilis (VDRL). 3. CSF for cell count, protein & VDRL. 4. Long bone radiograph 5. Antitreponemal IgM.

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