what are the signs and syptoms of EONS in neonate of 4 days years old in history and physical examination

Signs and symptoms of early-onset neonatal sepsis (EONS) in a 4-day-old neonate may include:

- Fever or hypothermia
- Poor feeding or vomiting
- Lethargy or irritability
- Respiratory distress
- Jaundice
- Abnormal heart rate or respiratory rate
- Seizures
- Changes in skin color or rash

On physical examination, a healthcare provider may observe signs such as:
- Poor muscle tone
- Bluish skin color
- Abnormal breathing patterns
- Swelling or redness at the site of infection
- Signs of dehydration
- Enlarged liver or spleen

It is important to seek medical attention promptly if any of these signs or symptoms are present, as early detection and treatment of EONS is crucial for the well-being of the neonate.