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Pediatrics General ffcb8f25

Feature of hemorrhagic disease of new born is –

A
Prolonged prothrombin time
B
Defective platelet count
C
Prolonged bleeding time
D
Prolonged thrombin time
High-Yield Explanation
Normal new borns are moderately deficient in vitamin K. This deficiency increases on 3rd to 5th day when, vitamin K level falls further. The serum level of vitamin K starts increasing from 13th to 15th day of life and achieves adult level at 3 months. This is normal, and does not produce any bleeding. In hemorrhagic disease of the newborn there is delay in achieving the normal vitamin K level. Clinical Features Vitamin K deficiency produces severe bleeding. Bleeding occurs from umbilical cord stump on 2nd/3rd day after birth. Intracranial bleding and large intramuscular hemorrhages may occur. Increased prothronzbin time and increased partial thromboplastin time. T/T Parenteral vitamin K therapy.

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