Six week check

Question 1

What things can lead to hydrocephalus in an infant

Answer 1

• Hydrocephalus
  
  • Congenital
    
    • Aquaductal stenosis, NTD, arachnoid cysts,
  • Compensated
  • Acquired hydrocephalus:
    
    • head trauma, brain tumor, cyst, IV haemorrhage, meningitis
  • Normal pressure hydrocephalus: adult onset, idiopathic
    *

Question 2

What type of poising can lead to neurological issues and hydrocephalus?

Answer 2

Lead poisoning

Question 3

Red reflex in a six week old is checking what? What can cause an abnormal result?

Answer 3

The integrity of the visual axis is being checked as the light should directly reflect off the fundus.

• Congenital Cataract
• Retinoblastoma
• Exotropia and esotropia

Question 4

If a red reflex comes back abnormal how should this be managed?

Answer 4

As an emergency situation with immediate urgent refferal

Question 5

What can cause an infant to have one undescended testes

Answer 5

• Intra-abdominally stuck
• Congenital Absence
• Atrophy
• Retractile
• Cryptorchadism

Question 6

What are these and what do you do about them?

Answer 6

Those are Mongolian spots, which are normal in darker skinned babies. These are non-cancerous and should regress before adolescence without treatment.

Question 7

List some primitive reflexes that all six week old babies should have

Answer 7

• Morrow
• Grasp
• Suckle
• Step