Achondroplasia Dwarfism Child DiseaseAchondroplasia is a genetic (inherited) bone disorder that occurs in one in 20,000 live births. Achondroplasia is the most common
Acne Treatment Acne Complex
Acne is a disorder of the hair follicles and sebaceous glands. With acne complex, the sebaceous glands are clogged, which leads to
Acquired Immune Deficiency Syndrome
Human immunodeficiency virus (HIV) is the virus that is responsible for causing acquired immune deficiency syndrome (AIDS). The vi
Agoraphobia Panic Attack Child Care
agoraphobia panic attack child care : Agoraphobia is a type of panic disorder in which a person becomes unable to leave a place th
Airway Obstruction Prevention
Since most accidental child strangulations, chokings, and suffocations occur in the home, parents are well-advised to carefully ch
Allergic Rhinitis In Children Kids
Rhinitis is a reaction that occurs in the nose when airborne irritants (allergens) trigger the release of histamine. Histamine cau
Alpha Fetoprotein AFP Newborn Baby
Alpha-fetoprotein screening is a blood test that measures the level of alpha-fetoprotein in the mothers' blood during pregnancy. A
Alpha Thalassemia Child Health
Thalassemia is an inherited disorder that affects the production of normal hemoglobin (a type of protein in red blood cells that c
Ambiguous Genitalia Children Babies
When a child's gender is in question at birth, because genitals may not appear clearly male or female, the child is said to have a
Amenorrhea Pregnancy Ovulation
Amenorrhea is a menstrual condition characterized by absent menstrual periods for more than three monthly menstrual cycles. Amenor
Amniocentesis Amniotic Fluid Baby
An amniocentesis is a procedure used to obtain a small sample of the amniotic fluid that surrounds the fetus to diagnose chromosom
Amniotic Fluid Hydramnios
What is amniotic fluid? Amniotic fluid is an important part of pregnancy and
fetal development. This watery fluid is inside a ca
Anaphylaxis Anaphylactic Shock
Anaphylaxis, also called anaphylactic shock, is a severe and sometimes life-threatening reaction to an allergen (the items that yo
Anemia In Children Kids Babies
Anemia is a common blood disorder that occurs when there are fewer red blood cells than normal, or there is a low concentration of
Anemia Of Prematurity Medical Care
anemia of prematurity medical care: The medical care options available to the
clinician treating an infant with AOP are preve
Anemia Of Prematurity Newborn Baby
Anemia frequently is observed in the infant who is hospitalized and premature.
Although many causes are possible, anemia of prem
Anencephaly Neural Tube Defect
Anencephaly is a condition present at birth that affects the formation of the brain and the skull bones that surround the head. An
Anorexia Nervosa Child Health Care
Anorexia nervosa (AN), a form of self-starvation, is an eating disorder characterized by low body weight (less than 85 percent of
Antiphospholipid Syndrome APL
Antiphospholipid syndrome is an autoimmune disease in which the body produces
large amounts of antiphospholipid antibodies. Phos
Aphthous Stomatitis Child Health
Aphthous stomatitis is an illness that causes small ulcers to appear in the mouth, usually inside the lips, on the cheeks, or on t
Aplastic Anemia Child Health Care
Aplastic anemia occurs when the bone marrow produces too few of all types of blood cells: red cells, white cells, and platelets. A
Apnea Of Prematurity
Apnea of Prematurity A fetus makes breathing movements from early in pregnancy, although the purpose of fetal breathing is unkn
Apnea Of Prematurity Causes
apnea of prematurity causes: A premature neonate in whom all other causes of
apnea have been excluded may be considered to have
Apnea Of Prematurity Medical Care
apnea of prematurity - Medical Care: • Stimulation o Tactile stimulation usually is sufficient to terminate an apneic
Apnea Of Prematurity Newborn Baby
Apnea occurs when a person has stopped breathing. Apnea of prematurity occurs when a premature baby stops breathing for 20 seconds
Arrhythmias Dysrhythmia
An arrhythmia (also called dysrhythmia) is an abnormal rhythm of the heart, which can cause the heart to pump less effectively. Ar
Assessment Of The Breastfed Infant
ASSESSMENT OF THE NEONATE The assessment of the breastfed infant includes an
evaluation of its voiding and elimination patter
Asthma Management In Children
Asthma Management The clinical management of asthma in children continues to evolve and was recently reviewed in this journal.
Asthma Medications
Commonly used medications The use of medications in children is highly individualized, based on the severity of the child's sym
Asthma Treatment
Asthma is a chronic, inflammatory disease in which the airways become sensitive to allergens (any substance that triggers an aller
Atopic Dermatitis Eczema
Atopic dermatitis, also called eczema, is a skin disorder that usually appears
in babies or very young children, and may last un
Autism Autistic Disorder
Autistic disorder (also called autism; more recently described as
"mindblindedness") is a neurological and developmental disorde
Biochemistry Of Human Milk
BIOCHEMISTRY OF HUMAN MILK Human milk is a unique, species-specific, complex nutritive fluid with immunologic- and growth-promo
Birth Trauma Birth Injury
Birth injuries to the infant resulting from mechanical forces (ie, compression,
traction) during the process of birth are catego
Birth Trauma Bone Injury
birth trauma bone injury : Fractures are most often observed following breech
delivery and/or shoulder dystopia in macrosomia in
Birth Trauma Brachial Plexus Injury
birth brachial plexus injury occurs most commonly in large babies, frequently with shoulder dystocia or breech delivery. Incidence
Birth Trauma Cranial Nerve Injury
birth cranial nerve injury : Unilateral branches of the facial nerve and vagus nerve, in the form of recurrent laryngeal nerve,
Birth Trauma Spinal Cord Injury
birth trauma spinal cord injury incurred during delivery results from excessive
traction or rotation. Traction is more important
Bowel Obstruction In The Newborn
Bowel obstruction in the newborn is one of the most common and potentially dire
newborn surgical emergencies. Successful managem
Bowel Obstruction Long Term Outcomes
In general, most infants with bowel obstruction who are expeditiously identified
and treated have an excellent outcome. Survival
Bowel Obstruction Prenatal Imaging
Prenatal imaging, especially with ultrasonography, can be extremely effective in
detecting of bowel obstruction. A fetus with pr
Breast Milk Jaundice Causes Lab
breast milk jaundice causes: • Supplementation of breastfeeding with dextrose
5% in water (D5W) actually can increase t
Breast Milk Jaundice In The Newborn
Breast Milk Jaundice Arias first described breast milk jaundice in 1963. Breast milk jaundice is a type of neonatal jaundice as
Breast Milk Jaundice Treatment
breast milk jaundice treatment - medical care : • Treatment recommendations in this section apply only to healthy t
Breastfeeding Risk Factors In The Infant
COMMON BREASTFEEDING PROBLEMS Risk factors for breastfeeding
difficulties Mother-infant pairs who are at risk for breastfe
Bronchopulmonary Dysplasia
Bronchopulmonary dysplasia (BPD) is a chronic lung disease (CLD) that develops
in preterm neonates treated with oxygen and posit
Bronchopulmonary Dysplasia History
bronchopulmonary dysplasia history: BPD is a CLD that develops in both preterm and term neonates treated with oxygen and PPV for a
Bronchopulmonary Dysplasia Medication
bronchopulmonary dysplasia medication : Many different drug therapies are employed to treat infants with severe BPD. The effica
Bronchopulmonary Dysplasia Treatment
Medical Care: Future management of BPD will involve strategies stressing
prevention. Because few accepted therapies currently ex
Children Constipation Functional
A normal pattern of stool evacuation is felt to be a sign of health in children
of all ages. Especially during the first months
Choanal Atresia Of Newborn
choanal atresia of newborn : Choanal atresia is caused by a failure of
embryologic regression of nasal airway tissue, thereby
Congenital Diaphragmatic Hernia
congenital diaphragmatic hernia treatment - Medical Care: Because of associated PPHN and pulmonary hypoplasia, medical therapy is
Congenital Diaphragmatic Hernia
Congenital Diaphragmatic Hernia The topic of congenital diaphragmatic hernia (CDH) frequently appears in the medical literature
Congenital Diaphragmatic Hernia Newborn
Congenital diaphragmatic hernia The pathogenesis of this disorder is caused by the incomplete formation of the diaphragm in the
Correct Breastfeeding Techniques Baby
correct breastfeeding positions and techniques Before the common
breastfeeding positions and techniques are reviewed, an unde
Counseling The Breastfeeding Mother
Counseling the Breastfeeding Mother In the time before managed care and
"drive-through" deliveries, the vast majority of newb
Cystic Adenomatoid Malformations
Cystic adenomatoid malformation Cystic adenomatoid malformations of the lung
are masses that may cause a spectrum of symptoms
Duodenal Atresia In The Newborn
Duodenal atresia in the newborn : Duodenal obstruction from atresia or web
affects as many as 1 in 6,000-10,000 infants. Poly
Elbw Infants Follow-up Care
elbw infants follow-up care Nearly all ELBW infants require
neurodevelopmental follow-up monitoring to track their progress a
Elbw Infants Medical Pitfalls
elbw infants medical pitfalls As the number of ELBW infants increased in the
postsurfactant era, so did questions regarding e
Enteral Feeding Methods Of Newborns
ENTERAL FEEDING METHODS OF THE NEWBORNS Premature infants in the NICU usually are fed by OG or NG tube until they are sufficien
Enteral Nutrition Management Newborns
ENTERAL NUTRITION MANAGEMENT Energy • With enteral nutrition, human milk and standard infant formulas (20 cal/oz) pro
Esophageal Atresia Tracheal Fistulae
Esophageal atresia with and without tracheoesophageal fistulae This condition rarely is considered a life-threatening emergency
Extremely Low Birth Weight Infant
Extremely Low Birth Weight Infant Thermoregulation As a result of a
high body surface area–to–body weight rati
Extremely Low Birth Weight Infant Infection
Extremely Low Birth Weight Infant Infection Infection remains a major
contributing factor to the morbidity and mortality of E
Fluid Electrolyte Management Of Newborn
FLUID AND ELECTROLYTE MANAGEMENT OF THE NEWBORN Management goals FE management is a balancing act between intake and output.
Fluid Electrolyte Principles Of The Newborn
FLUID AND ELECTROLYTE PRINCIPLES OF THE NEWBORN The principles of fluid and electrolyte balancing include the following points:
Fluid Electrolyte Status Of The Newborn
ASSESSING FLUID AND ELECTROLYTE STATUS OF THE NEWBORN A number of conditions can impact neonatal renal function adversely. The
Follow-up Of Breastfeeding Infants
Follow-up of breastfeeding infants • Evaluate the infant's breastfeeding performance in the hospital within 24-28 hours
Food Allergy In Children
Food allergy - General aspects of food allergy diagnosis and management Food
allergy is frequently encountered in general ped
Hemolytic Disease Follow-up
hemolytic disease follow-up - Further Inpatient Care: • The stabilization
of a hydropic newborn requires a high level o
Hemolytic Disease Lab Studies
hemolytic disease lab studies : • CBC: The severity of hematologic
abnormalities is directly proportional to the severi
Hemolytic Disease Of Newborn
Hemolytic Disease of Newborn A French midwife was the first to report
hemolytic disease of the newborn (HDN) in a set of twin
Hemolytic Disease Of Newborns
History: Women at risk for alloimmunization should undergo an indirect Coombs
test and titers at their first prenatal visit. If
Hemorrhagic Disease Of Newborn
Hemorrhagic Disease of Newborn The more appropriate term for hemorrhagic disease of newborn is vitamin K deficiency bleeding (V
Hemorrhagic Disease Of Newborn Followup
hemorrhagic disease of newborn - Further Outpatient Care: Follow-up interval after discharge depends on the nature and severity
Hydrops Fetalis Cardiac Causes
hydrops fetalis cardiac causes • Congenital structural anomalies of the heart may accompany as many as 1 in 4 babies wit
Hydrops Fetalis Causes
Causes: • The heterogeneity of this collection of associations is bewildering
at first glance. However, the common thr
Hydrops Fetalis Fetal Hydrops
Hydrops fetalis (ie, fetal hydrops) is usually defined as the presence of fetal
subcutaneous tissue edema accompanied by serous
Hydrops Fetalis Hematologic Causes
hydrops fetalis hematologic causes • Hematologic events, which lead to
profound anemia and have been recognized to tri
Hydrops Fetalis Imaging Studies
hydrops fetalis imaging studies: • Once the possibility of fetal hydrops is
considered or suspected, sophisticated and
Hydrops Fetalis Infectious Causes
hydrops fetalis infectious causes • The immature fetus is particularly
susceptible to overwhelming viral and bacterial
Hydrops Fetalis Lab Studies
hydrops fetalis Lab Studies: • Diagnostic studies may be considered best by
temporal grouping (ie, fetal, maternal, pla
Hydrops Fetalis Medical Care
hydrops fetalis medical care : The single most important factor to ensure proper treatment of the fetus with hydrops is a preci
Hyperbilirubinemia Of The ELBW Infants
Hyperbilirubinemia Most ELBW infants develop clinically significant typically unconjugated or indirect hyperbilirubinemia requi
Hypoxic Ischemic Encephalopathy
History (hypoxic ischemic encephalopathy): Per the guidelines of the AAP and ACOG, all of the following must be present for the
Hypoxic Ischemic Encephalopathy
Further Inpatient Care (hypoxic ischemic encephalopathy): • Close physical therapy and developmental evaluation are need
Hypoxic Ischemic Encephalopathy Care
Medical Care (hypoxic ischemic encephalopathy): Treatment of seizures is
an essential component of management. Seizures are g
Immunologic Properties Of Human Milk
IMMUNOLOGIC PROPERTIES OF HUMAN MILK Human milk immunoglobulins Human
milk contains all of the different antibodies (M, A,
Imperforate Anus Repair
Imperforate anus : Routine inspection of a newborn should note the position and
patency of the anus. Anorectal malformations ran
Incontinentia Pigmenti
Genes are inherited from our biological parents in specific ways. One of the
basic patterns of inheritance of our genes is calle
Ineffective Breastfeeding In The Infants
Warning signs of ineffective breastfeeding in the infants What are the warning signs of ineffective breastfeeding in the infant
Infant Of Diabetic Mother
Diabetes has long been associated with maternal and perinatal morbidity and mortality. Before the discovery of insulin in 1921, di
Infant Of Diabetic Mother Causes
Causes (infant of diabetic mother): • HbA1C levels o Complications caused
by maternal hyperglycemia during pregnancy
Infant Of Diabetic Mother Follow-up
Further Outpatient Care (infant of diabetic mother): Basic outpatient care
should consist of routine well-baby care provided
Infant Of Diabetic Mother History
History (infant of diabetic mother): • Fetal congenital malformations are
most common when maternal glucose control has
Infant Of Diabetic Mother Medical Care
Medical Care: • Communication between members of the perinatal team is of
crucial importance to identify infants who ar
Infant Of Diabetic Mother Workup
Lab Studies (infant of diabetic mother): • Complete blood cell count o
Polycythemia, commonly defined as a central h
Intraventricular Hemorrhage Elbw Infants
intraventricular hemorrhage in elbw infants : A hemorrhage in the brain that begins in the periventricular subependymal germina
Jejunoileal Atresia In The Newborn
jejunoileal atresia in the newborn : Atresia of the jejunum or ileum is more
common than duodenal atresia, occurring in 1 in
Kernicterus Causes Hyperbilirubinemia
kernicterus causes: Be familiar with bilirubin metabolism to understand factors leading to an increased risk of kernicterus. Bi
Kernicterus Follow Up Medical Care
Further Outpatient Care: • To help insure that infants may reach their maximum neurodevelopmental potential, referring ba
Kernicterus History Diagnosis
kernicterus history: A history of risk for hemolytic disease can be an
important clue to a neonate's increased risk of pathol
Kernicterus Imaging Studies
kernicterus imaging studies : • In the acute phase of bilirubin
encephalopathy, neuroimaging has no major diagnostic be
Kernicterus Lab Studies
kernicterus Lab Studies: • Hematologic studies: Hematologic laboratory evaluation is the cornerstone of evaluation of
Kernicterus Medical Care Treatment
kernicterus medical care: The cornerstone of management of
hyperbilirubinemia is prevention of neurotoxicity. The definitive
Kernicterus Yellow Kern Pathophysiology
Traditionally, the term kernicterus (literally yellow kern, with kern indicating
the most commonly afflicted region of the brain
Lactation Lactogenesis Human Milk
Two essential hormones - prolactin and oxytocin During the second stage of
lactogenesis, the breast becomes capable of milk p
Lactogenesis Lactation Human Milk
Lactogenesis is the process by which the mammary gland develops the capacity to
secrete milk. It includes all processes necessar
Malrotation Midgut Volvulus In Newborn
Malrotation and volvulus : Because of the potential for midgut volvulus and loss of the entire small bowel, malrotation represents
Management Of The Sensitized Neonate
Management of the sensitized neonate Mild hemolytic disease accounts for 50%
of newborns with positive DAT results. Most of t
Maternal Alloimmunization Management
Management of maternal alloimmunization Initial attempts to suppress Rh antibody production with Rh hapten, Rh-positive RBC str
Maternal Milk Supply Infant
FACTORS AFFECTING THE MATERNAL MILK SUPPLY True difficulties in the supplying of milk are most commonly related to the irregula
Mechanics Of Breastfeeding Newborn
mechanics of breastfeeding Understanding the actual mechanism of how babies
get milk into their bodies is important. Suckling
Meconium Aspiration Syndrome
Meconium Aspiration Syndrome : The first intestinal discharge from
newborns is meconium, which is a viscous, dark green subst
Meconium Aspiration Syndrome Treatment
Meconium Aspiration Syndrome Medical Care: • Prevention o Prevention is paramount. o Obstetricians should monitor
Meconium Ileus Obstruction In Newborn
Meconium ileus: Meconium ileus is the term used to describe neonatal
presentation of distal small-bowel obstruction from thic
Meconium Plug Syndrome In The Newborn
meconium plug syndrome in the newborn : Some newborns present with bowel
obstruction from plugs of meconium isolated to the c
Multiple Births Complications
multiple births complications: • Prematurity: Infants from multifetal
pregnancies are more likely to be born prema
Multiple Births Medical Care
Multiple Births Medical Care: Medical care of the woman with multiple
gestation pregnancy is beyond the scope of this chapter
Multiple Births Multifetal Pregnancies
The term multiple births is defined as more than one fetus being born of a
pregnant woman. Since 1970, prevalence of multiple bi
Necrotizing Enterocolitis Elbw Infants
Necrotizing enterocolitis NEC is a disease of the premature gastrointestinal
tract that represents injury to the intestinal m
Neonatal Bowel Obstruction Diagnosis
The diagnostic evaluation of a neonatal bowel obstruction must be expeditious
because some causes of bowel obstruction rapidly c
Neonatal Cardiovascular Resuscitation
neonatal cardiovascular resuscitation : Cardiovascular support and chest compressions : Most infants who present at delivery
Neonatal Hypertension Blood Pressure
Neonatal Hypertension Recent advances in the ability to identify, evaluate, and care for hypertensive infants, coupled with adv
Neonatal Hypertension Follow Up
Further Inpatient Care: • Monitor BP regularly until the infant is ready for discharge from the NICU. Infants treated wit
Neonatal Hypertension Lab Studies
Lab Studies: • Usually only a limited set of laboratory data is needed in
the evaluation of neonatal hypertension. Obta
Neonatal Hypertension Medical Care
Medical Care: Numerous medications are available that may be used in the
treatment of neonatal hypertension. Assess the clini
Neonatal Intensive Care Goals
GOALS OF NEONATAL INTENSIVE CARE - Overview Healthcare professionals may
experience frustration at the lack of specific resou
Neonatal Intensive Care Guidelines
NEONATAL INTENSIVE CARE GUIDELINES Overview NICU guidelines are developed to relate professional medical consensus. Institution
Neonatal Jaundice Causes History
History (neonatal jaundice): • Presentation and duration o Typically,
presentation is on the second or third day of
Neonatal Jaundice Exchange Transfusion
neonatal jaundice exchange transfusion Exchange transfusion is indicated for avoiding bilirubin neurotoxicity when other therap
Neonatal Jaundice Follow-up
neonatal jaundice follow-up Further Inpatient Care: • Infants who have
been treated for jaundice can be discharged w
Neonatal Jaundice In The Newborns
NEONATAL JAUNDICE Hyperbilirubinemia occurs in nearly all newborns and can be
classified in several categories, including pat
Neonatal Jaundice In The Newborns
Jaundice is the most common condition requiring medical attention in newborns.
The yellow coloration of the skin and sclera in n
Neonatal Jaundice Lab Studies
neonatal jaundice lab studies: • Bilirubin o Transcutaneous
bilirubinometry can be performed using handheld devices
Neonatal Jaundice Medical Care
neonatal jaundice medical care: Phototherapy and exchange transfusion are the
therapeutic modalities used most widely in infa
Neonatal Jaundice Medications
neonatal jaundice medications usually are not administered in infants with
physiologic neonatal jaundice. However, in certain in
Neonatal Polycythemia Causes
Causes: • Increased fetal erythropoiesis secondary to fetal hypoxia o Placental insufficiency can be secondary to pree
Neonatal Polycythemia Medical Care
Medical Care: Therapy is based on both the measured central venous Hct and the presence or absence of symptoms. Treatment of po
Neonatal Resuscitation Airway Breathing
Airway management Once the infant is placed in a heated environment, the
infant should be positioned to open the airway, and
Neonatal Resuscitation Asphyxia Response
neonatal resuscitation - Response to asphyxia The fetus or newborn that is
subjected to asphyxia begins a diving reflex (so t
Neonatal Resuscitation Drugs Medications
neonatal resuscitation drugs medications : Medications : Neonatal
resuscitation drugs should be stocked in any area in whi
Neonatal Resuscitation Extreme Prematurity
Extreme prematurity Premature infants have special needs that must be
considered during the critical period immediately follo
Neonatal Resuscitation Fetal Circulation
Cardiovascular adaptation Fetal circulation To understand the
cardiovascular changes that occur in the neonate at birth, i
Neonatal Resuscitation Fetal Pulmonary
neonatal resuscitation - Respiratory adaptation Following birth, for the lungs to operate as a functional respiratory unit prov
Neonatal Resuscitation Guidelines
Neonatal resuscitation Neonatal resuscitation skills are essential for all
health care providers who are involved in the deli
Neonatal Resuscitation Intubation
neonatal resuscitation - Intubation Infants may require tracheal intubation
if direct tracheal suctioning is required, effect
Neonatal Resuscitation Postresuscitation
THE IMMEDIATE POSTRESUSCITATION PERIOD Maintenance of airway and ventilation The goal of delivery room management is to stab
Neonatal Resuscitation Preparation
PREPARATION FOR NEONATAL RESUSCITATION A number of sources of information
concerning the training of skills and procedures th
Neonatal Resuscitation Thermoregulation
neonatal resuscitation - Thermoregulation It is essential to prevent heat loss during the resuscitation. Intrauterine thermoreg
Neonatal Sepsis Clinical Signs
History: The risk factors that are associated most highly with neonatal sepsis
include maternal GBS colonization (especially if
Neonatal Sepsis Lab Studies
Neonatal Sepsis Lab Studies: • Blood, CSF, and urine cultures o Aerobic
cultures are appropriate for most of the bac
Neonatal Sepsis Medical Care Followup
Neonatal Sepsis Medical Care: Initiate treatment immediately because of the neonate's immunologic weaknesses for fighting infectio
Neonatal Sepsis Neonatal Infection
Neonatal sepsis (neonatal infection, early-onset neonatal sepsis, late-onset
neonatal sepsis, early-onset sepsis syndrome, late-
Neonatal Shock Hypotension Medical Care
Medical Care: Once shock is suspected in a newborn, appropriate supportive
measures must be instituted as soon as possible. T
Neural Tube Defects Diagnosis
DIAGNOSTIC DETECTION OF NTDS AND ASSOCIATED NEUROLOGIC LESIONS Presence of
open NTDs can be detected with the measurement of
Neural Tube Defects Embryology
EMBRYOLOGY The human embryo passes through 23 stages after conception, each
occupying approximately 2-3 days. Two different p
Neural Tube Defects Epidemiology
EPIDEMIOLOGY Several interesting characteristics in the epidemiology of neural tube defects are as follows: • Signific
Neural Tube Defects Etiology
ETIOLOGY Over the last century, teratogens implicated in the etiology of NTD
in experimental animals and in humans include po
Neural Tube Defects Evaluation Treatment
EVALUATION AND TREATMENT: MEDICAL AND SURGICAL Neurologic lesions The
myelomeningocele is a saccular protrusion containing
Neural Tube Defects Fetal Surgery
FETAL SURGERY FOR TREATMENT OF NEURAL TUBE DEFECTS Over the past decade,
fetal surgery for NTDs (specifically, myelomeningoce
Neural Tube Defects In The Neonatal Period
Neural Tube Defects in the Neonatal Period Congenital deformities involving the coverings of the nervous system are called neur
Neural Tube Defects Pathology
Pathology Spina bifida cystica The 2 major types of defects seen with
spina bifida cystica are myelomeningoceles and menin
Neural Tube Defects Prognosis Outcome
OUTCOME AND PROGNOSIS OF CHILDREN WITH NEURAL TUBE DEFECTS Major issues in
evaluating the outcome of children with myelomenin
Newborn High Frequency Ventilation
High-frequency ventilation: High-frequency ventilation (HFV) may improve blood
gases because, in addition to the gas transport b
Newborn Hypercapnia Hypoventilation
Hypercapnia usually is caused by hypoventilation or severe ventilation/perfusion (V/Q) mismatch. Carbon dioxide normally diffuses
Newborn Hypoxemia Hypoventilation
newborn hypoxemia is usually the result of V/Q mismatch or right-to-left shunting, although diffusion abnormalities and hypoventil
Newborn Ventilatory Strategies
newborn ventilatory strategies : Continuous positive airway pressure: CPAP has been an important tool in the treatment of newbo
Nutrition Principles Of Infants
NUTRITION PRINCIPLES OF INFANTS Nutrient requirements • Energy, measured as cal/kg/d • Carbohydrates ̶
Oligohydramnios
Oligohydramnios is a condition in which there is too little amniotic fluid around the fetus. It occurs in about 4 percent of all p
Omphalitis Medical Surgical Care
Medical Care: Treatment of omphalitis (periumbilical edema, erythema, and tenderness) in the newborn includes antimicrobial the
Omphalitis Medication Complications
MEDICATION A combination of a parenterally administered antistaphylococcal penicillin and an aminoglycoside antibiotic is recom
Omphalitis Umbilical Stump Infection
Omphalitis is an infection of the umbilical stump. Omphalitis typically
presents as a superficial cellulitis that may progress t
Patent Ductus Arteriosus Newborns
patent ductus arteriosus In the fetus, the ductus arteriosus is a conduit
between the left pulmonary artery and the aorta tha
Pediatric Resuscitation Pneumothorax
pediatric resuscitation pneumothorax Air leak syndromes are disorders produced when a rupture of pulmonary tissue occurs with t
Periventricular Leukomalacia Brain Injury
periventricular leukomalacia (ischemic brain injury) Periventricular leukomalacia (PVL) is the most common ischemic brain injur
Periventricular Leukomalacia Imaging
Imaging Studies: • Cranial ultrasonography: Cranial ultrasonography is the modality of choice for the initial evaluation
Pierre Robin Syndrome Tracheal Webbing
Pierre Robin syndrome : Pierre Robin syndrome presents with micrognathia and
with a resultant displacement of the tongue into
Polycythemia Of The Newborn
Polycythemia of the newborn (neonatal polycythemia, erythrocythemia, hematocrit, Hct, hyperviscosity, sludged blood, microthrombi,
Polyhydramnios Oligohydramnios
Polyhydramnios and Oligohydramnios (too much amniotic fluid, too little
amniotic fluid, oligoamnios, oligamnios, fetal lung deve
Polyhydramnios Oligohydramnios Care
Medical Care: The first step is identifying the etiology of the abnormal volume
of amniotic fluid. Medical care includes use of
Puberty Adolescent Female
Growth The teenage years are also called adolescence. During this time, the teenager will see the greatest amount of growth in
Pulmonary Interstitial Emphysema Care
Medical Care: Different treatment modalities have been used to manage PIE, with
variable success. • Lateral decubitus
Pulmonary Interstitial Emphysema PIE
Pulmonary Interstitial Emphysema PIE Pulmonary interstitial emphysema (PIE)
is a collection of gases outside of the normal ai
Respiratory Distress Syndrome Care
Medical Care: • Prenatal prevention and prediction of RDS: Obstetricians with experience in fetal medicine should care fo
Respiratory Distress Syndrome Infants
Respiratory distress syndrome An early complication of extreme prematurity is respiratory distress syndrome (RDS), which is cau
Respiratory Distress Syndrome Lab
Lab Studies: • Blood gases are usually obtained as clinically indicated from
either an indwelling arterial (umbilical)
Respiratory Distress Syndrome Newborn
respiratory distress syndrome complications: • Acute complications include the following: o Alveolar rupture: Suspect
Respiratory Distress Syndrome Rds
Respiratory distress syndrome (RDS), also known as hyaline membrane disease
(HMD), occurs almost exclusively in premature infant
Retinopathy Of Prematurity Rop
Retinopathy of Prematurity (ROP, retrolental fibroplasia, retinal neovascularization) Retinopathy of prematurity (ROP) is a ser
Retinopathy Of Prematurity Treatment
Medical Care: • Medical care consists of ophthalmologic screening of appropriate infants. • No specific medical
Shock Hypotension In The Newborn
Shock and Hypotension in the Newborn Shock is a complex clinical syndrome caused by an acute failure of circulatory function an
Total Parenteral Nutrition Management
TOTAL PARENTERAL NUTRITION MANAGEMENT Goals for nutrition management The
primary goal is to provide energy and nutrients i
Transient Tachypnea Of Newborn Care
Medical Care: • Medical care is supportive. As the retained lung fluid is absorbed by the infant's lymphatic system, the
Transient Tachypnea Of The Newborn
Transient tachypnea of the newborn (TTN) is a disease common in infants
throughout the world and has been encountered by all phy
Urticaria In Children
Urticaria - Thyroid autoimmunity and chronic urticaria Urticaria is common in
adults, with up to 25% reporting episodes at le
Warts Papillomavirus
What are warts? Warts are non-cancerous skin growths caused by the
papillomavirus. Warts are more common in children than adults
Weight Management
Facts about obesity: According to the National Center for Health Statistics,
about 13 percent of children ages 6 to 11 in the
Whooping Cough Pertussis
What is whooping cough (pertussis)? Whooping cough, or pertussis, mainly
affects infants and young children. Caused by a bact
Wilms Tumor
What is Wilms tumor? Wilms tumor, also called nephroblastoma, is a malignant
(cancerous) tumor originating in the cells of th
Wisdom Teeth Extraction
What are wisdom teeth? Also called third molars, wisdom teeth usually make their first appearance in young adults between the a
X-linked Agammaglobulinemia
What is X-linked agammaglobulinemia? X-linked agammaglobulinemia, also called Bruton's agammaglobulinemia or congenital agammag
X-Ray For Children
X-rays are a form of electromagnetic radiation that occurs naturally in the environment. Similar to light or radio waves, X-rays a