You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Which among the following is not included in the triad of necrotizing enterocolitis and explain in detail?
Necrotising Enterocolitis:- * Most common life-threatening emergency of the gastrointestinal tract in the newborn period * The distal pa of the ileum and the proximal segment of colon are involved most frequently * The greatest risk factor for NEC is prematurity. NEC can occur secondary to bih asphyxia, Down syndrome, congenital hea disease, rotavirus infections, and Hirschsprung disease, red cells transfusion * Coagulation necrosis is the characteristic histologic finding in intestinal specimen. * Common pathogens causing NNEC include Escherichia coli, Klebsiella, Clostridium perfringens, Staphylococcus epidermidis, astrovirus, norovirus, and rotavirus. * Aggressive enteral feeding may predispose to the development of NEC * The onset of NEC is usually in the 2nd or 3rd wk of life but can be as late as 3 months in VLBW infants. * Pneumatosis intestinalis (air in the bowel wall) is diagnostic Triad of Necrotising Enterocolitis Includes: - * Thrombocytopenia * Metabolic Acidosis * Refractory Hyponatremia Ref:- Nelson 20th Edition; Pg num:- 870,871