CLIN MANIFES OF THE NEWBORN Flashcards
1
Q
- Suggest CNS d/o (HIE, intracranial hge, stroke, cerebral anomaly, subdural effusion, meningitis)
- can be secondary to hypocalcemia, hypoglycemia, benign familial, seizures, hypo/hypernatremia, IEM, drug withdrawal
- autonomic phenomena: HTN and tachycardia
- apnea: may be the 1st manifestation of seizure activity
- continuous amplitude integrated EEG (aEEG ) or long term video EEG monitoring
A
Neonatal seizures
2
Q
- recurrent tremors
- present in normal newborns, IDM, birth asphyxia or drug withdrawal, polyythemia
A
Jitterness
3
Q
- after severe birth asphyxia
- recurrent oral-buccal-lingual movements, rotary limb activities, tonic posturing or myoclonus
- not usually accomapnied by time-sync EEG discharges
A
Motor automatism
4
Q
- Fracture, dislocation or nerve injury
- septic arthritis, osteomyelitis, and infections
A
Pseudoparalysis
5
Q
Signs of Altered Mental Status
A
- lethargy
- iriitability
- hyperactivity
- failure to feed
6
Q
- 5gm/dL of deoxyhb must be present in the blood for it to be apparent
- pulmonary conditions: respirations are rapid with increase work of breathing
- CNS depression: respirations are irregular and weak, often slow
- CHD/Methemoglobinemia: unaccompanied by signs of respiratory difficulty
A
Central cyanosis
7
Q
- represent peripheral venous congestion associated with immature control of peripheral vascular tone
A
Peripheral acrocyanosis
8
Q
- manifest as irritability, jitterness, clonus, or seizures
- ECG: prolong QT interval
- Exaggerated physiologic decrease in serum calcium levels w/in 24HOL
- common in term px receiving formula milk than exclusively breastfed infant
- Tx: IV or oral calcium replacement
A
Hypocalcemia
9
Q
- caused by maternal administration of Mg in the perinatal period
- symptoms present at birth and improve over the next 24-48hrs
> Respi depression
> Hypotonia
> Lethargy
> Feeding intolerance
A
Hypermagnesemia
