Neonatal Flashcards
Small Left Colon Syndrome is associated with what disease?
Infants of Diabetic Mothers (50%) and Gestational Diabetes (25%)
Soap Bubble Appearance is what and seen in what disease?
Meconium Ileus - mixed airfluid with meconium. Seen in patients with Cystic Fibrosis. Will also see different sizes of bowel loops
What is the main risk factor for Caudal Regression Syndrome?
Infant of a Diabetic Mothers
Caudal Regression Syndrome is associated with what?
Cardiac abnormalities, Renal Abnormalities, Small Left Colon Syndrome, NTD
Caudal Regression Syndrome can cause what blood and electrolyte problems?
Hypomagnesium, Hypocalcemia, Polycythemia associated with hyperviscosity and Hyperbilirubinemia
What is vernix and when does it disappear
thick protective coat that covers the baby in utero. disappears by 38 weeks of gestation
Fetal Alcohol Syndrome is associated with what defects?
Septal Defects and minor limb defects
What are the features of Fetal Alcohol Syndrome
Smooth Philtrum, Thin and Smooth Vermillion border, Short palpebral fissures, Midface hypoplasia, microcephaly, microphthalmia
Parachute Reflex appears at what age and disappears when?
Shows up at 6-9 months and persists through life
What is the Moro Reflex and when does is disappear?
Lifting the babies arms where the head is lifted and released. Baby will have a startled reaction. Disappears at 5-6 months of age
Palmar grasp disappears at what age?
3 months
Plantar reflex is what and disappears when?
plantar stimulation leads to plantar flexion of the toes - 8-9 months of age
Findings in Utero exposure to Phenytoin
Hypoplastic or absent digits, cleft lip/palate
Valproate is associated with what?
Neural Tube Defects
Craniosynostosis and deformity of the 2, 3, 4, 5 digits
Apert Syndrome - Mitten Hand finding
Crouzon
Craniosynostosis of the coronal sutures
Respiratory Distress with Asymmetric Moro is concerning for what?
Brachial Plexus injury including the Phrenic Nerve - Evaluate with a chest XR to observe a hemidiaphragm
Erb Palsy
adducted and internally rotated, C5-C6
What is Perinatal Asphyxia?
Period during the resuscitation where there is a lack of oxygenation ie. crappy APGAR scores
Perinatal Asphyxia increases your risk for what?
Renal Vein Thrombosis
Oliguria, Unilateral/Bilateral Flank mass, and HTN in the newborn are concerning signs for what?
Renal Vein Thrombosis
Diagnosis of Renal Vein Thrombosis is what?
US of the IVC and Renal Veins with Doppler studies
Phenytoin is associated with what Vitamin Def
Vit K deficiency - bloody stools
