CLIPP 9 Flashcards
Name an example when breastfeeding is contraindicated (hint: infection)
HIV-infected mother
Guess what the baby wants:
baby has increased alertness, increased physical activity, mouthing, rooting
baby is fucking hungry
whats a good way to know your baby is getting enough nutrition?
the baby is gaining weight
what is the differential of a large fontanelle? (5)
skeletal disorders (e.g. rickets, osteogenesis imperfecta)
chromosomal abnormalities (Down syndrome)
hypothyroidism
malnutrition
increased intracranial pressure
what is the differential of a small fontanelle?
microcephaly
craniosynotosis (premature suture closure)
hyperthyroidism
a normal variant
what is the differential of a sunken fontanelle?
dehydration
what is the differential of a bulging fontanelle? (4)
meningitis
hydrocephalus
subdural hematoma
lead poisoning
what is the most common cause of CAH?
21-OH deficiency
What are the signs of congenital hypothyroidism (cretinism)?
Feeding problems
Decreased activity
Constipation
Prolonged jaundice
Skin mottling
Umbilical hernia
true of false:
the following are routinely administered in the first hours or days following delivery: HepB vaccine, Vitamin K, Erythromycin eye ointment, Critical Congenital Heart Disease screen, hearing screen, newborn metabolic screen.
True
what is the differential for a neonate with poor feeding and decreased activity? (10)
congenital hypothyroidism
shaken baby syndrome
down syndrome
sepsis
CAH
Inborn error of metabolism
botulism
hypoxic-ischemic encephalopathy
polycythemia
hyperbilirubinemia
