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Flashcards in Neonatal, Brandau Deck (13):
1

what can cause virilization of neonate

21a hydroxylase deficiency
11b hydroxylase deficiency

2

neonate
high low cortisol
ACTH way low
free T4 low
TSH normal
GH low
FSH LH low
dx?

pan pituitary problem

3

presentation of neonate with GH deficient

micropenis
hypoglycemia
exaggerated jaundice

4

clincal manifestations TSH deficiency in newborn

large fontanelle, lethargy, constipation, hoarse cry, hypotonia, hypothermia and jaundice

5

causes of pan anterior pituitarism

congential
TB
inflammation
injuries
lesions
surgery
tumor
radiographic therapy

6

what is a 2 vessel umbilical cord

single umbilical artery

7

find a single umbilical artery in newborn, what should you do next?

US screen of abdomen and kidneys

8

differential Dx for persistant hypoglycemia

prematurity
intrauterine frowth retardation
infant of DM mother
hypothermia
perinatal asphyzia
sepsis
disorders of gluconeogenesis/glycogenolysis
hyperinsulinism
primary and secondary adrenal insufficiency
congenital hypopituitarism

9

genetic syndromes associated with micropenis

smith lemli opitz syndrome
kallmann syndrome
prader willi syndrome

10

abnormalities in smith lemli opitz

microcephaly, low set ears, micrognathia
genital abnormalities 70% time
cardiac defects-- endocardial most common

11

genital abnormalities and loss sense of smell
unilateral renal agenesis

kallmann syndrome

12

what is bilateral synkinesis and what syndrome is it assoc with

movement of hand mirrored by other hand
kallmann syndrome

13

hypotonia, failure to thrive, feeding difficulties, hypogonadism and developmental delays in newborn

prader willi