Minor skin lesions and rashes Flashcards
What is considered a birth injury?
Amniotomy marks: line on head from amnihook
Fetal scalp electrode: needle that goes under the skin can leave scars
Fetal blood sampling
Scalpel marks-caesarean section: equires referral for further treatment
Forceps marks
Ventouse
Bruising
Port wine stain
Sturge-Weber syndrome : port wine stain anywhere near the brain
MRI: brain scan to ensure that the blood vessels within the brain is normal
Laser treatment: minimises the appearance of the stain
When pressing on the baby’s skin it will not disappear
In adulthood it may become more darker and raised
Needs to be referred for further investigations
Blue Spot
documentation- safeguarding
North America, Europe, Oceania: if the baby’s family are from here its
South America, Africa, Asia etc- more common
Normally on sacrum area on the back or the buttocks, wrists and ankle
Not always clear on initial examination
Temporarily only if they are initially light
Strawberry haemangioma
Abnormalities of the blood vessels
Increases in size after the birth
birth mark may become noticeable in the weeks after the birth
Propaniol can be used to reduce the size
If near eyes they may not be able to see properly
Not dangerous, but depending on location they can be knocked and bleed
Cafe au lait (neurofibromatosis)
Develops benign tumours anywhere on the body
Needs a referral
1 or 2 is fine but more than 5 a definite referral to check if the have the gene for neurofibromatosis
Nevus simplex
Pigmentation on the skin
If baby is tired or unwell maybe more noticeable.
Sucking blister
From sucking fingers during intrauterine life.
Erythemia toxicum
Rash of the newborn
When the baby reacts with chemical it has been exposed to before
Advise not to put any chemicals on the baby’s skin
Will eventually disappear by itself.
Gestation can be assessed by examining the neonates
Ears
