Buzzwords: Neonatal Flashcards
Prune belly, absence of abdominal musculature
Renal abnormalities
Severely scaphoid belly plus respiratory disease
Diaphragmatic hernia
Prominent kidneys
hydronephrosis or cystic kidney disease
Firm mass including bowel, liver, etc., protruding out of abdomen (typically central). Has covering sac.
Omphalocele
Free intestinal loops protruding out of abdomen (typically right paraumbilical). No covering sac.
Gastroschisis
Premature. Polyhydramnios. Abdominal distention and bilious vomiting in 1st hour of life. Dilated bowel loops.
Duodenal atresia
Small pustules on erythematous base. 3-5 d of life.
Erythema toxicum
Small, white papules concentrated on nose, cheeks, forehead, and chin.
Milia
Flushed macular appearance involving neck, face, scalp, and diaper area.
Milaria, aka heat rash
Symmetric mottling pattern of the skin.
Mottling
Light red macules found on eyelids, nape of neck, and forehead.
Nevus simplex (stork bite if neck)
Capillary venous malformation. Well demarcated, deep red to purple flat macular lesion seen at birth. Enlarges with child’s growth.
Nevus flammeus (port wine stain)
Ipsilateral glaucoma and Sturge-Weber syndrome
Nevus flammeus (aka port wine stain) with ophthalmic V1 distribution.
Bluish with clear borders on the abdomen or scalp. Absent for first few weeks of life, but then has rapid growth phase.
Infantile hemangioma
Small to large, blue-black macules concentrated on the back and buttocks. Mistaken for bruising.
Slate gray nevus
Skull bones floating → squished/overlap
Overriding sutures
Premature fusion of sutures (usually sagittal)
Craniosynostosis
Fluid accumulation under scalp (2ry to birth trauma). Can cross suture lines.
Caput succedaneum
Fluctuant collection of blood under the periosteum of the skull. Well demarcated. Does not cross suture lines.
Cephalohematoma
Accumulation of blood in the loose connective tissue of the subgaleal space (caused by vacuum/forceps delivery). Hypovolemia.
Subgaleal hematoma
Low set ears, posteriorly rotated ears
Down or Turner syndrome
Absent red reflex
Congenital cataracts, glaucoma, retinoblastoma.