NEWBORN PE: HEAD & FACE

Question 1

What to inspect sa Head?

Bs

Answer 1

Buhok, Bukol, Bruit, Butas, Syempre wag kalimutan yung shape/contour of the head hahaha

Question 2

When inspecting hair, paano siya idedescribe?

5 parameters

Answer 2

Quantity: Evely Distribued / Increased / Decreased / Generalised or Localized Alopecia

Color

Texture:
Dry coarse hair = hypothyroidism
/ Fine thin hair = malnutrition

Surface Characteristics: Lice or Nits

Strength: Fragile

Question 3

What does dry coarse hair imply?

Answer 3

Texture: Dry coarse hair = hypothyroidism

Fine thin hair = malnutrition

Question 4

What does fine thin hair imply?

Answer 4

Texture: Dry coarse hair = hypothyroidism

Fine thin hair = malnutrition

Question 5

Kelan nagiging HC=CC

Answer 5

6-12 months

Question 6

Kelan nagiging CC>HC

Answer 6

1 yo

Question 7

Closure of fontanels

Anterior - ?

Posterior - ?

Answer 7

9-18 months (anterior)

6-8 weeks (triangular)

Question 8

What does a small fontanel imply?

Answer 8

Microcephaly, craniosynostosis

Question 9

What does late closure/ large fontanels imply?

Answer 9

Hypothyroid, Hydroceph, rickets, trisomy 18

Question 10

Describe the possible findings sa fontanels of a child with increased ICP

Answer 10

“Tense” or “full” or “elevated”

Question 11

What does “depressed fontanel” mean?

Answer 11

Dehydration

Question 12

Bruits are normal for children aged? What do bruits indicate?

Answer 12

< 4 yo

AV malformation

Question 13

What to check during PE of the face?

Answer 13

Symmetry
Expression
Unusual facies
Deformities
Lumps and Bumps