Lecture 22 Common Postnatal Problems Flashcards
What is a capillary haemangioma
A cluster of dilated capillaries which appear within the first month after birth
What are the features of a capillary haemangioma
Raised
Bright red
Discrete edges
What is the prognosis of capillary haemangioma
usually regresses after one year
What is a Monglian Blue spot
Blue-grey pigmentations
Lower back and buttocks
What causes Mongolian Blue Spots
Accumulation of melanocytes
What are port wine stains
Present at birth, flat or slightly raised
What is the cause of port wine stains
Caused by dilated, mature capillaries in the superficial dermis
What conditions are associated with port wine stains
Sturge Weber
Klippel-Trenaunay
What is a Stork marks
Light colour capillary dilation
Commonly at back of neck or midline of face
Cafe au lait spots
What is the prognosis of Stork mark
Gradually fades withint 1st or 2nd year
What is the blood sugar range for hypoglycaemia
<2.0mmol/l
What are the symptoms of Hypoglycaemia
Jitteriness Temperature instability Lethargy Hypotonia Apnoea Poor feeding Vomiting High pitched cry Seizures Asymptomatic
What 4 areas should you assess for retractions
Substernal
Subcoatal
Intercostal
Suprasternal
An absent or a weak femoral pulse would suggest what abnomrality
Coarctation of aorta
What are spinal dimples
Sign of spina bifida occulta