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PATIENTS: Thien Nhan
DATE OF BIRTH: July 15, 2006
This is the case of boys Thien Nhan, 17 months-old home in Nui Thanh, Quang Nam Province, Vietnam. Baby was abandoned after the birth mother and abandoned the garden and it needs to be fun right leg was amputated and lost the genitals. Baby was taken to the provincial hospital to perform surgery, and discharge after 2 months.
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Height and Weight
Weight: 8.4kg (quite mild compared to the age of the children), height: 74cm (only 1% of children at the age of your baby's height as such).
NUTRITION
The expression malnutrition from weight, height, blood type and the lack of minority hemoglobin baby. Little iron was added in hopes can treat. Blood tests "complete blood count (CBC) should be conducted at least one month later to determine the baby is wearing anemia hemoglobin minority or not. If not, they will conduct additional tests other
The abdominal pain and diarrhea are frequently signs of malnutrition and intestinal infections may be, the cause is due to poor hygiene conditions.
SOCIAL SKILLS
Social skills for the age of the baby is normal, but the baby needs the neck and arms exposed to many more good environment.
MODIFICATION OF CARE
Part right leg was amputated Left 12cm long and moved pretty well. The orthopedic treatment should be conducted as soon as she can stand it. Now she can sit by yourself and stand by his left leg, so the orthotics should be conducted now. Young recommended that the foot should be replaced annually until the author seven months old, every two months instead of one times until 12-13 months old, to three times a year until age 21 (age complete skeleton), in the meantime she can be replaced last legs. Baby should also be examined by a doctor or orthopedic specialist for pictures. The slow development of nerve mobilization is one of the consequences of failure to add true author. That's not to mention the influence it makes children lose confidence.
Genital damage SURFACE
Genitals of the baby must always be kept clean since your baby's genital development of a small hole, which is easily led to the congestion and infection. So I recommend abdominal ultrasound and droughts to determine the scope cut amputated. The reconstructed genitals and testes probably done when your baby to puberty. I do not have enough expertise to advise on treatment of diseases caused by hormones. In terms of sexual health and urology, baby needs to be examined by experts in this.
SUMMARY
The most important thing for Baby Thien Nhan is now living in a place that has many interests, easily receive medical care and an environment with many arms and love to your baby may well reveal than medical needs, physical, social and emotion of the baby.
Doctor Jocelyn P. Nava
Polyclinic doctors
Family Medical Practice
DaNang Nang, Vietnam