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Y4R1 - Pediatrics I 👶 > L7: SGA > Flashcards

L7: SGA Flashcards

1
Q

Def of SGA

A
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2
Q

Etiology of SGA

A
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3
Q

Etiology of SGA

  • Maternal
A
  • Maternal malnutrition (especially late in pregnancy)
  • Pre-eclamptic toxemia (PET)
  • Chronic maternal disease
  • Heavy cigarette smoking
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4
Q

Etiology of SGA

  • Fetal
A
  • Chromosomal & congenital anomalies
  • Congenital infections
  • Metabolic disorders (e.g. Galactosemia)
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5
Q

Etiology of SGA

  • Placental
A
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6
Q

Classification of SGA

A
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7
Q

Pathophysiology of SGA

A
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8
Q

Def of Constitutionally small infant

A
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9
Q

CP of SGA

A

The infant appears malnourished at birth

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10
Q

Complications of SGA

A
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11
Q

Complications of SGA (Perinatal Asphyxia)

  • Causes
A

Due ta placental insufficiency)

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12
Q

Complications of SGA (Perinatal Asphyxia)

  • Pathophysiology
A
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13
Q

Complications of SGA (Perinatal Asphyxia)

  • Results
A

May result in intrauterine fetal death

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14
Q

Complications of SGA (MAS)

  • Pathophysiology
A

Fetal distress results in passage of meconium into amniotic fluid

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15
Q

Complications of SGA (Hypothermia)

  • Etiology
A
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16
Q

Complications of SGA (Hypothermia)

  • Prevention
A

Warming in incubator or nursed in a warm environment

17
Q

Complications of SGA (Hypoglycemia)

A
18
Q

Complications of SGA (Hypoglycemia)

  • Etiology
A
  • Depletion of glycogen stores in the liver by effect of intrauterine distress
  • The risk increases with increasing severity of growth restriction
19
Q

Complications of SGA (Hypoglycemia)

  • Management
A
20
Q

Complications of SGA (Hypocalcemia)

A
21
Q

Complications of SGA (Hypocalcemia)

  • Def
A

Serum calcium is <7mg/dl

22
Q

Complications of SGA (Hypocalcemia)

  • CP
A

Usually asymptomatic but there may be jitteriness or even convulsions

23
Q

Complications of SGA (Hypocalcemia)

  • TTT
A
24
Q

Polycythemia in SGA

A
25
Q

Polycythemia in SGA

  • def
A

Venous hematocrit value > 65%

26
Q

Polycythemia in SGA

  • Etiology
A

Increased erythropoietin production resulting front fetal hypoxia

27
Q

Polycythemia in SGA

  • Complications
A
  • The increased red cell mass may lead to increased blood viscosity which interferes with vital tissue perfusion
28
Q

Polycythemia in SGA

  • TTT
A

Partial exchange transfusion

29
Q

Management of SGA

A

Y4R1 - Pediatrics I 👶 (49 decks)

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