Waylen P., 1

Baby Waylen is the firstborn child his mother. He began experiencing health issues at just two months old and has since had several hospital admissions due to conditions including anemia, failure to thrive, and sepsis. Upon the most recent admission, the baby was severely wasted, dehydrated, and had a distended abdomen, though no organ enlargement was noted. Initially, he was admitted to the High Dependency Unit (HDU) where he was stabilized and received treatment, including feeding through a nasogastric tube. He has since been moved out of HDU and is now in the general ward under routine observation. This latest admission followed a week of symptoms including cough, fever, irritability, post-cough vomiting, poor breastfeeding, and diarrhea. The mother shares that she has little to say about her son's progress over the past seven months, as the baby has been frequently in and out of the hospital since birth.

Before the current admission, Waylen had experienced several hospitalizations due to severe anemia, failure to thrive, and sepsis. One week prior to admission, he developed fever and irritability. On arrival at the hospital, examination revealed severe wasting and dehydration. Following a thorough physical assessment together with laboratory and radiological investigations, he was diagnosed with severe pneumonia, failure to thrive, and severe malnutrition. He was immediately admitted to the HDU, where a nasogastric tube was inserted for feeding, oxygen therapy was initiated, and intravenous antibiotics were administered. He remained in the HDU for several days before being transferred to the general ward. His condition steadily improved, and he was eventually discharged. A follow-up visit one week later confirmed that he was doing well.

Under the underlying health condition, the child was immediately put under NGT for feeding, oxygen for therapy, iv antibiotics, abdominal ultra sound and chest x-ray. This emergency response 1st line management will improve the health of the child to clear malnutrition, oxygen therapy to open up the lungs and antibiotics to clear infections and give the child appetite and energy to breastfeed. His health has greatly improved. Prognosis is good