L1: Examination of Newborn Flashcards
Def of Newborn
Newborn or neonate refers to an infant in the first 28 days after birth.
Classification of Newborn
- According to maturity
- According to birth weight
- According to birth weight & maturity
Classification of Newborn
- According to Maturity
Classification of Newborn
- According to birth weight
Classification of Newborn
- According to maturity & Birth weight
Examination of Newborn
- Time
Examination of Newborn
- Value
Examination of Newborn
- Requirements
Examination of Newborn includes โฆ..
Examination of Newborn
- Aspects of Physical Examination
Physical Examination of Newborn
- Weight
Physical Examination of Newborn
- Length
Physical Examination of Newborn
- Head Circumference
Physical Examination of Newborn
- Skin & MM
Physical Examination of Newborn
- Vernix Caseosa
Physical Examination of Newborn
- Lanugo Hair
Physical Examination of Newborn
- Slate Grey Patches
(Mongolian spots)
Physical Examination of Newborn
- Milia
Physical Examination of Newborn
- Normal Peeling
Physical Examination of Newborn
- Erythema Toxicum
Physical Examination of Newborn
- Transient Neonatal Pustular Melanosi
Physical Examination of Newborn
- Mottling
Physical Examination of Newborn
- Pallor
Due to blood loss, hemolysis, asphyxia, shock or edema.
Physical Examination of Newborn
- jaundice
Indicates hemolysis.
Physical Examination of Newborn
- Cyanosis
Centrale Cyanosis: as in asphyxia & CHD.
Peripheral cyanosis: is normal for 24h after birth.
Physical Examination of Newborn
- Plethora
Indicates polycythemia (as in IDM)
Physical Examination of Newborn
- Head
- Cephalhematoma
- Subgaleal Hemorrhage
- Fontanelles
- Nose
Def of Cephalhematoma
Itโs a collection of the blood under periosteum of skull bone
Characters of Cephalhematoma
Complications of Cephalhematoma
Def of Subgaleal hemorrhage
Itโs a collection of the blood Under the aponeurosis of the scalp.
Characters of Subgaleal hemorrhage
It Cross suture lines.
PE of Newborn
- Pictures
From Alpha
Causes of Large anterior fontanelle
Hypothyroidism, osteogenesis imperfecta, hydrocephalus
causes of Small anterior fontanelle
Microcephaly and Craniostenosis
Causes of Bulging anterior fontanelle
Meningitis and hydrocephalus
Causes of Depressed anterior fontanelle
Dehydration
Causes of Large Posterior fontanelle
Hypothyroidism
Physical Examination of Newborn
- Nose
- Look for patency of each nostril by cotton swap.
- Flaring of nostril in respiratory distress.
Physical Examination of Newborn
- Neck
Physical Examination of Newborn
- Sternomastoid Tumor
Physical Examination of Newborn
- CVS
Physical Examination of Newborn
- Heart & vascular System (acrocyanosis)
Physical Examination of Newborn
- RESP
Physical Examination of Newborn
- Grades of Respiratory Distress
Physical Examination of Newborn
- Chest & Lung
Physical Examination of Newborn
- Neonatal mastitis
Physical Examination of Newborn
- Prominent Xyphoid
Physical Examination of Newborn
- Apnea
Physical Examination of Newborn
- Abdomen
Physical Examination of Newborn
- Gastrochisis
Physical Examination of Newborn
- Back
Physical Examination of Newborn
- Vitals
Physical Examination of Newborn
- Temperature
Physical Examination of Newborn
- BP
Physical Examination of Newborn
- CRT
Physical Examination of Newborn
- Congenital Anomalies & Dysmorphic Features
Physical Examination of Newborn
- A nasogastric tube is passed from the nose to the stomach to exclude โฆ..
- Choanal atresia
- Esophageal atresia.
Physical Examination of Newborn
- Genital System
Physical Examination of Newborn
- Urine
Physical Examination of Newborn
- Meconium
Physical Examination of Newborn
- APGAR Score
APGAR Score for PE of Newborn
- Appearence
APGAR Score for PE of Newborn
- Pulse
APGAR Score for PE of Newborn
- Grimace
APGAR Score for PE of Newborn
- Activity
APGAR Score for PE of Newborn
- Respiration
Notes of APGAR Score
- Significance
- Values
- Time
- Reliable?
Physical Examination of newborn
- Estimation of GA
Def of Neonatal reflexes
They are primitive reflexes developed during intrauterine life and presented
Significance of Neonatal reflexes
Absence of these primitive reflexes โ-> sign of CNS depression.
Examples of Neonatal reflexes
- Suckling reflex
- Rooting Reflex
- Placing reflex
- Stepping reflex
- Grasp reflex
- Tonic neck reflex
- Moro Reflex
Suckling Reflex
- Procedure
- Response
- Appearence
- Disappearence
Rooting Reflex
- Procedure
- Response
- Appearence
- Disappearence
Placing reflex
- Procedure
- Response
- Appearence
- Disappearence
Stepping Reflex
- Procedure
- Response
- Appearence
- Disappearence
Grasp reflex
- Procedure
- Response
- Appearence
- Disappearence
Tonic-Neck Reflex
- Procedure
- Response
- Appearence
- Disappearence
Moro Reflex
- Procedure
- Response
- Appearence
- Disappearence
Causes of Bilateral Absent Moro Reflex
Causes of Unilateral Absent Moro Reflex
Causes of Persistent Moro Reflex beyond 6th month
Appearence & disappearence of neonatal reflexes
Compare between Full term & Preterm neonates