Neonatology Flashcards
Ponderal index
Weight(g) /length (CM) 3 × 100
> 2 symmetrical IUGR
< 2 asymmetrical IUGR
SOTOS syndrome
Also called cerebral gigantism
Intellectual disability
Premature tooth eruption
Developmental delay
Beckwith wiedemann syndrome
Macroglossia
Anterior abdominal defects
Hemihypertrophy
Increase risk for wilms tumor
ENBS
Expanded New Ballard Score
Range of gestation 20 to 44 weeks
Total score range -10 to + 5o
Accuracy +/- 1 week
Postnatal examination of gestational age
ENBS
Criteria:
1. Physical maturity
2. Neuromuscular maturity
Scarf sign
Flexed elbow crosses midline
Positive in preterm
Newborn period
First 4 weeks
Intrauterine growth chart
Assess the birth weight of baby
Asymmetric IUGR
Maternal cause of IUGR
Symmetrical IUGR
Fetal cause
Preterm baby
GA < 36 weeks + 6days
Term baby
GA 37 to 41 weeks + 6days
Post term baby
GA > 42 weeks
Delayed cord clamping in preterm babies
Decreases the risk of intraventricular hemorrhage
Vital signs in new born
Temperature 36.5 to 37.5 C
Heart rate 110 to 160 bpm
Respiratory rate 40 to 60 breaths per min
BP 60 / 40 mm hg
CFT is observed over
Sternum
Normal values of cft
< 3 secs
Erythema toxicum / neonatorum
Red and yellow papulo pustular lesions appears after 24hrs
More eosinophils
Pustular melanosis
Hyperpigmented patches plus pustules
Appears within 24hrs
More neutrophils
Milia
Milk spots around the nose and face
Bohns nodules
White spots in gums
Epstein pearls
White spots on palate
Mongolian spots
Hyperpigmented macules
Salmon patch other names
Strawberry angioma/ stork bite/ nevus flavus