Flashcards in This or That - Neonates Deck (11):
Physiological or Haemolytic
<24 hrs can only be caused by congenital infection and haemolytic
< 24 hrs, haemolytic picture, splenomegaly
ABO or Hereditary spherocytosis
FH will be giveaway. Spherocytes on blood film.
For anaemia: blood transfusions
For splenomegaly: Folic Acid, Splenectomy (in mod-severe disease)
Post splenectomy, give immunisations for encap bacteria (Men, Hib, Strep), lifetime penicillin
Pale stool, dark urine
OR other obstructive cause
Very high unconjugated billirubin
Non-itchy rash in nappy area, started on scalp - yellow and scaly
Seborrhoeic Dermatitis or Nappy Rash
Nappy rash is a reaction from the irritant effect of urine. However, if other infectious signs or 'satellite lesions' (red plaque surrounded by smaller red spots), consider candida infection
Mother had GDM
Amniotic fluid was an odd colour (should be clear), baby was in resp distress
Tachypnoea of Newborn or Meconium Aspiration
Aspiration due to foetal distress, causing foetal expulsion of meconium in utero. More common in preterm and late gestation (40+)
Labour started 1 day after membranes were ruptured
Meconium Aspiration or Pneumonia
Prolonged rupture of membranes increases chances of picking up an infection in genital tract (GBS, E. Coli)
Start Abx immediately - Tazocin + Vanc.
If suspect Chamydial pneumonia, investigate, give Erythromycin
Mother has GDM. Ground glass appearance on x ray.
Pneumonia or RDS
Respiratory Distress Syndrome
Deficiency of surfactant. Pre-term (esp <28 wks) and GDM
Steroids and Surfactant
Neonate with RDS is on oxygen, but has sudden reduced breath sounds and desaturation
Chest Drain or Increase O2
Pneumothorax 2ndary to ventilation. ~10% to ventilated babies. Infants should be ventilated at lowest possible pressure.