Skip to main content
MedVellum
QuestionsVideosPricing

MedVellum

Fellowship exam preparation across every specialty: source-verified topics, questions in every format, and videos.

Product

  • Specialties
  • Questions
  • Videos
  • Exam tools
  • Pricing

Verification & policy

  • Verified register
  • Editorial policy
  • Privacy
  • Terms

Account

  • Sign in
  • Create account
  • Dashboard
  • Account & billing

© 2026 MedVellum. For education only — not a substitute for clinical judgement.

llms.txtPsychiatry LLM catalogSitemap

Paeds Casesfetal-neonatal-and-perinatal

Paeds Cases · fetal-neonatal-and-perinatal

Parenteral nutrition in neonates — case

Long case and communication station.

long case with communication3 min readVerification in progress

Target exams

RACP DCEMRCPCH Clinical
On this page
Study tools

Target exams

RACP DCEMRCPCH Clinical
Prompt
A very preterm infant started on early aggressive parenteral nutrition and the pathway to full enteral feeding, with a concerned family.

Case summary

A 780 g male infant is born at 26 weeks' gestation to a 28-year-old primigravida who presented in preterm labour. He is intubated and given surfactant for respiratory distress syndrome, and a umbilical venous catheter is sited at one hour of age. The team asks you to start parenteral nutrition and build the pathway to full enteral feeding. [2] [1]

Paediatrics Fellowship Pro

Continue reading

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

Sign in to continueSee pricing
References6ShowHide
  1. [1]Koletzko B Guidelines on Paediatric Parenteral Nutrition of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), supported by the European Society of Paediatric Research (ESPR). Journal of Pediatric Gastroenterology and Nutrition, 2005.PMID 16254497
  2. [2]te Braake FW Amino acid administration to premature infants directly after birth. Journal of Pediatrics, 2005.PMID 16227030
  3. [3]Fivez T Early versus Late Parenteral Nutrition in Critically Ill Children. New England Journal of Medicine, 2016.PMID 26975590
  4. [4]van Goudoever JB ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Amino acids. Clinical Nutrition, 2018.PMID 30100107
  5. [5]Hojsak I ESPGHAN position paper: intravenous lipid emulsions and risk of hepatotoxicity. Journal of Pediatric Gastroenterology and Nutrition, 2016.PMID 26825766
  6. [6]Puder M Parenteral fish oil improves outcomes in patients with parenteral nutrition-associated liver injury. Annals of Surgery, 2009.PMID 19661785
Paediatrics Fellowship Pro

$29/ monthor $279 / year

The complete Paediatrics Fellowship library, every exam format, one subscription.

  • Complete library for one chosen specialty
  • Timed MCQ mock exams and spaced review
  • Clinical cases & cross-table vivas
See pricingSign in
PreviousNo-call cell-free DNA result in a higher-risk pregnancy — structured clinical encounterfetal-neonatal-and-perinatalNextPerinatal infection screening and prevention — casefetal-neonatal-and-perinatal