Neonatal ICU OME

Question 1

Bronchopulmonary Dysplasia(BPD)
path? cxr? tx? if not fixed what can this cause?

Answer 1

path: underdeveloped lungs + lack of surfactant
CXR: ground granular opacities
Tx: dnt let it progress to DPLD! = Decrease FiO2, Ante-natal steroids, Perinatal Surfactant, try to avoid premature birth

Question 2

Intraventricular Hemorrhage(IVH)
path? dx? tx?

Answer 2

Path: @34 wks intraventricular lining vascular involutes. before this any changes in BP(birth, sepsis, RDS, BPD) can cause hemorrhage

dx: <30 wks gets cranial U/S
tx: craniotomy, VP shunt + F/U 36-40 U/S

Question 3

Necrotizing Enterocolitis(NEC)
rf? presentation? dx? tx?

Answer 3

RF: premature, aspiration
Presentation: baby w/bloodly bowel movement
dx: Xray = “pneumatosis intestinalis, air in the wall of the bowels”
tx: NPO, IV Abx(amp,gent, metro), TPN

Question 4

Retinopathy of Prematurity(ROP)

path? rf? tx?

Answer 4

path: abnormal growth of capillaries in eyes = neovasculization
RF: prematurity, worsened by high O2 delivery(may see in baby tx for RDS or BPD!)
tx: laser photocoagulation

**F/U for Glaucoma development!