Okay, my newest what-on-earth-is-going-on-here from the ship in West Africa ...
We have a little cleft lip / palate baby who was admitted through our feeding program. She's 4.5 months old, and she was admitted almost 3 weeks ago at 3.24 kg. She's now 3.33 kg, despite lots and lots of feedings.
The other day, a new doc was examining her, probably a little more thoroughly than she's been examined in the past (since we don't do much in the way of workups when a skinny baby has an OBVIOUS reason for not gaining weight like a lip/palate) ... it turns out she has a huge liver, so we sent labs. Here's where it gets interesting ...
Babe has an alk phos of 2228. Her ALT and AST are up too, somewhere in the 50-80 range (I cant remember exactly) and get GGT is normal. Lab was trying to run a calcium on the tiny little sample we gave them when I left, so I'm not sure what it is.
Mama is negative for HepB/C and HIV, but we didn't test baby because we didn't want to take that much blood if we didn't have to.
Other than Paget's disease, which would be kind of unlikely in such a small one, and we're not seeing any bone deformities, we're kind of stumped.