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