Neonatology Flashcards
Retinal haemorrhages
Subdural haematoma
Encephalopathy
Ventricular haemorrhages
Shaken-baby syndrome
- non accidental injury
Spasmodic torsional dystonia with arching of the back and rigid opisthotonic posturing, associated with symptomatic gastroesophageal reflux, esophagitis, or hiatal hernia
Sandifer Syndrome
Swelling in liver and brain in children
- Hx of recovering from viral infection (Taken Aspirin)
Reye’s syndrome
Aspirin in contraindicated in paeds
Congenital infections (mother to foetus)
TORCHeS
Toxoplasmosis Gondii Others: Parvovirus B19, Listeria, Varicella zoster Rubella Cytomegalovirus (CMV) Herpes simplex Syphilis
Newborn Intracranial calcifications (widespread) Hydrocephaly Chorioretinitis Blueberry muffin rash
Toxoplasmosis gondii
Newborn
Skin + ocular lesions
Hypoplastic limbs
CNS Abnormalities
Varicella-zoster virus (ZVZ) - chickenpox
1% infected if mother has primary infection in 3-28 weeks of pregnancy
Tx: Aciclovir
Newborn
Sepsis
Pneumonia
Granulomatous infantiseptica
Listeriosis (Listeria monocytogenes)
Anaemia in newborn Hydrops Fetalis (swollen liver, abdominal swelling)
Parvovirus B19
Newborn Deafness Cataracts Heart disease Blueberry muffin rash Pink maculopapular rash, face then body (3-5 days) Lymphadenopathy
Rubella
first 16 weeks are highest risk
Newborn
Deafness
Blueberry muffin rash
Intracranial calcifications (periventricular)
Cytomegalovirus (CMV)
Newborn Mucocutaneous vesicles on skin Conjunctivitis Infected mouth Meningitis Disseminated infection (lungs + liver)
Herpes simplex virus (HSV)
Tx: Aciclovir
Newborn Rash Runny nose (saddel nose) Hepatomegaly (jaundice) ;ymphadenopathy Bilateral destruction of medial tibial metaphyses (Wimberger sign)
Syphilis
Tx: Penicillin
