Neonataology, Nutrition Flashcards
Cocaine & Pregnancy
Premature delivery
Miscarriage, stillbirth, placental abruption, ICH
Fetal Tachycardia
> 160
Klumpke Palsy
damage to brachial plexus
paralysis of right arm and hand; claw-like pasturing
Apnea of Prematurity occurs
<32 weeks
Vitamin C / Scurvy
gingivial bleeding
corkscrew hairs
anemia
easy bone fractures
LBW =
<2500g
Caput Succedanaum
above the periosteum
crosses suture lines
Surfactant in fetus =
pulmonary alveolar epithelial type II cells
Single Umbilical Artery associated with
Trisomy 18
Placenta for Identical Twins
diaminotic, monochorionic
Goat Milk is deficient in
folate and B6
History of meconium aspiraition
acute respiratory distress
displaced point of maximal cardiac impulse, think…
pneumothorax
ACEI inhibits cause what fetal defects
renal dysgenesis
oligohydraminos
skull ossification defects
Cigarette smoking associated with what in babies
low birth weight
DES & birth defects
vaginal adenocarcinomas
uterine/Gu defects
GBS screen between
35 & 37 weeks
Formula for infants with galactomsemia
soy
Infant with scaphoid abdomen, displaced cardiac PMI, decrease breath sounds
congenital diaphragmatic hernia
Infant with Anihidrosis, miosis, ptosis
Horner Syndrome
damage to first thoracic nerve
Rickets - Symptoms
weak bones
teeth and bone abnormalities
short stature
Microcolon is associated with maternal
Diabetes
Thiamine Deficiency
Parathesias
foot and wrist drop
ataxia
SGA =
Birth Weight <10th percentile
Subgaleal Hemorrhage
bleeding behind the scalp aponeurotica
firm, flutcuant
Mean Pulmonary Artery Pressure & Birth
decreases
Mean Pulmonary Blood Flow & Birth
increases
Pulmonary Vascular Resistance & Birth
decreases
Thalidomide & Birth Defects
missing arms, legs, deafness/ear abnormalities
Fetal Bradycardia =
<120
Late Decelerations
fall in HR at beginning/peak of contraction
return to normal when contraction is over
check fetal pH
LGA =
BW at >90th percentile
Infant that is cyanotic except when crying, think
bilateral choanal atresia
Erb Palsy
paralysis of R shoulder and arm
Right arm held in internal rotation (waiters tip)
upper brachial plexus, 5-6th roots
Medications that breastfeedings is contraindicated with
chemotherapy
statin
amphetamines
ergotamines
Introduce a cup at
6-9 months
VLBW =
less than 1500 grams
abnormal scalp pH value of
7.20
Holiday-Seegar Equation for Calories
100kcal for first 10kg
50kcal for second 10kg
20kcal for remainder
1500 + 20x(weight -20)
colobloma, think
CHARGE
Prolonged use of hot tubs during pregnancy causes..
NTDs
PPHN neonate presentation
differential cyanosis
split S2
TR murmur
Carbamazepine and VPA can cause
spina bifida
Cephalehematoma
under periosteum, doesn’t cross suture lines
commonly in parietal area
Hypoglycemia values in infants
<40 in first 24 hours of life
<50 after first 24 hours of life
Breast fed preterm infants should start iron supplemental at
1 month of life
Virus associated with HF in inants
parvovirus
Cheliosis & Sore Tongue
Riboflavin/B2 deficiency
Niacin/B3 Deficiency
Diarrhea, Dermatitis, Dementia
Medicine Associated with Vitamin K Bleeding in first 24 hours of life
phenytoin
Warfarin & Birth Defects
Nasal Hypoplasia
RVT triad
gross hematuria
flank mass
thrombocytopenia
Erb palsy at risk of …
phrenic nerve damage
Surgery for umbilical hernia if
persists past age 5-6
increases in size between age 1-2
Ranula
translucent to bluish bulge under the tongue
pseudocyst due to salivary glands
Alcohol as a teratogen
septal defects
Consideration if extensive fat necrosis of infants
check calcium
infants should be checked for HbSAg at
9-12 months of life
Caudal Regression Syndrome
defects of sacrum, lumbar vertebrae
associated with diabetic mothers
soap bubble
meconium ileus
Symmetric IUGR
affected early in gestation
alcohol, cigarette smoking
Ground Glass Appearance of Bones
Scurvy
Bitot Spots
Vitamin A > D, E, K
build up of keratin in the eye, associated with dryness
Deficiency associated with cardiomyopathy
thiamine
How much formula do infants need to drink to get adequate Vitamin D?
33 oz
Maximum amount of milk for infants to drink
16-24 oz
Protein energy malntrution without edema
Marasmus
Kwashiorkor
insufficient protein intake
edema
Kwashiorkor skin rashes
hyperkeratosis, pigmentation changes
yellowish-gray hair