9- lethargy

Question 1

how many breastfeeding a day for first few weeks

Answer 1

8-12

Question 2

lethargy def

Answer 2

level of consciousness characterized by the failure of a child to recognize parents or to interact with persons or objects in the environment. The child demonstrates significant sluggishness.

Question 3

listless def

Answer 3

shows no interest in what is happening around herself.

Question 4

Congenital hypothyroidism symptoms

Answer 4

Feeding problems
Decreased activity
Constipation
Prolonged jaundice
Skin mottling
Umbilical hernia

Question 5

differential for poor feeding and potential lethargy

Answer 5

A. Congenital hypothyroidism
B. Infant botulism
C. Shaken baby syndrome
D. Genetic conditions such as Down syndrome
E. Sepsis
F. Hypoxic-ischemic encephalopathy
G. Congenital adrenal hyperplasia (CAH)
H. Inborn error of metabolism
I. Polycythemia

Question 6

diseases associated with large fontanelles

Answer 6

Skeletal disorders (e.g., rickets, osteogenesis imperfecta)
Chromosomal abnormalities (e.g., Down syndrome)
Hypothyroidism
Malnutrition
Increased intracranial pressure can also result in large fontanels and splitting of the sutures.

Question 7

Premature closure or a small fontanel for age may be a feature of

Answer 7

Microcephaly
Craniosynostosis
Hyperthyroidism
A normal variant

Question 8

sunken fontanelle

Answer 8

dehydration

Question 9

bulging fontanel

Answer 9

increased ICP…

Meningitis
Hydrocephalus
Subdural hematoma
Lead poisoning

Question 10

congenital hypothyroidism treatment

Answer 10

Consult with pediatric endocrinologist and start treatment with 10 to 15 mcg/kg/day of crushed levothyroxine in liquid, and follow up every 12 months

Question 11

botulinum symptpms

Answer 11

hypotonia, lethargy, constipation, weak cry and can eventually lead to respiratory failure. These infants will have absent DTRs.

Question 12

OTC def labs

Answer 12

hyperammonemia and elevated urine orotic acid