premature infant under stress in first wk patho 1mucosal injury due to ischemia infec e coli klebsiella salmonella 2 formula feed @clinical after 1 wk lead to fulminant death three stage 1 suspect unstable temp apnea omniting abd distension 2 definite above and bowel sound metabolic acidosis 3 advanced above and low bp dic anuria peritonitis with abd edema@management oral feed withheld nasogastric tube to relieve distension aspiration fluid electrolite blood csf urine stool culture shock treat plasma platelev sequel perforatino stricture
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