NEONATE HISTORY

Trimester
Ante Ey : history
-

NÉistoy :
labor
stage
-

-
MOD
-

Cry
birth
injury
-

APGAR score ( Asphyxia)

d
grimaces
-

Resp
Appearance
:
rate
-
-

Muscle the
-
Pulse -

1min : -

Asphyxia (see,
has
5 mins :
How much the
baby 5 mine
iiu
resuscitated
-

been
intervention .

by yourdoesn't how was the

cry
:
If managed
-

child
Mask Tactile
Bag &
-

stimulus
or
Tulse
Bag &
ar
mutilator support
- LBW
 VIVA QUESTIONS : chain
warm
* <
2.5kg T

E- complications of LBW ? for preterm &

LBW babies
-

hypothermia
a-
§ : -

Hypoglycaemia def Premature Teem

all in neonates
<
54g/ but
app
I net
-

for the <

2.5kg
for Px
glucose
-
:

gest age weight

-

should be ✗ 35-40
-

resp distress -

Hypoglycaemia
( no stores)
a-
Symptomatic Asymptomatic Early symptoms of
hypoglycaemia
grittiness
:

jaundice ?
-

og ,
p -3
•stable vitals

\ .
can
stop

Physiological Pathological
-

< 15
-
715

-
not in
soles
palm -
<24 hours &

&
after
15
days
tihjs chart :-X ais hours
of rife
-

-
:

Bilirubin levels
y-axis
:
-

for phototherapy requirement

below the line
phototherapy
:
-

above the line :

fluid exchange
-

#Trane cutaneous
therapy
bilirubin metre
-
# Bilirubin rising
>
5g 1hr
:

pathological
earisesm
: LS : 90
days
-
-

- More RBC
-
diver not mature

#
Pathological causes : -

run mum

hypo thy
-

in males due to ✗ R)
-

l
-

G- 6 PD
def only
-
Rh
incompatibly
* -
ABO
↳
incompatibly
mother 0 :

Child : A or B or AB

g. Breast milk and Breast

feeding jaundice
.
 X
Ray PA view
-
-

visible structures
•
ribs
• clavicle
borders heart
of
•

t
↳ cardio perceive
-

pleural effusion
side
Casto
phrenic
angle on
left
angle
* consolidation
first thing on x-Ray
when pneumonia

tut
 Cootie knuckle)
Carina
Caoeticpvewindow

descending
aorta

right d
henri ↳
diaphragm
Breast
shadow
gastric
air
 → Pneumothorax

Mediastinal shift
side
on the
left

→ Pleural Effusion

costrgphheire
 Homogenous opacity
-

→ Pneumonia

→ Pneumothorax
 opacity on
upper
-

right some

-
consolidation
due to the

pneumonia

→ HYDRO PNEUMOTHORAX
→ f.
body

seed
→

miliary
TB
appearance

→
sago grain appearance
- NODULE SIZE : I -2mm
 sided
Left
pneumothorax
•

mediastinal
I

towards
shift
right
This
• area
appears
White :
of
mediastinal
shift
( not pleural effusion

diaphragmatic
congenital
-

hernia

-
mediastinal
at
shift
-
liver
shifted
downwards .
-
HYPO DENSE / OPACITY ( DIFFUSE)

HMD ( SURFACTANT -
nt)

to
RESP . DISTRESS

-
CHEST ✗RAY PA VIEW
 To drain .

pus
-
ICT put down

air ICT
up
• - n

→ AIR FLUID

PNEUMOTHORAX
HYDRO
-

L t
.

TUBE PNEUMOTHORAX
-
-

-
AIR FLUID
LEVELS
 -
RICKETS : - CUPPING ( concavity )
☐
FRAYING : → (
blurring )of
margins
•

SPLAYING widening of: -

ends
→ BURRING OF
MARGINS
metaphysical
d
CUPPING

CT ratio C neonates R

infants ⇐
>0 .
6

d
to call
cardiomegaly
-
CT ratio > 0.5
(childe
adults )

② -
Max .

bulge on rtl
:( at b)
left
⑦ .
Ll e 22 ( Costco phrenic 4
 - HAIR ON END APP.

* EXTRA MEDULLARY

HEMATOPOEISIS
d

to
compensate
bone marrow

depression
-

mainly in
hemolytic
Aneauriai

-
THYMUS MAKES SAIL

SIGN (N)
-
SINGLE BUBBLE
&
PYLORIC STENOSIS
-
NEUROCYSTICERCOSIS

STARRY SKY APPEARANCE

-

UNCOOKED
( Multiple cysts
-
INFESTED FOOD
•
ALBENDAZOLE
(f)

STERIODS

STAGES OF NCC : -
-
CSF FLOW
AMOUNT
PER DAY PRODUCTION

TYPES OF HYDROCEPHALU
-
NECROTIZING ENTER COLITIS
COARCTATIOAI OF
AORTA
 1115-1-0124
For 36 hours tell the ein hours
:
age
-

maternal data : -
•

Age to her or
acute / Chi illness
Any
-

in the family
1110 consangeouis
ness
•

death
•

Any sibling *

history
A neonatal : - • LMP

( all 3 trimesters • TI t
ing
•
FA Fe Ca
, ,
*

Quickening
•

Anomaly
• scan

• I dash
Teller

Any drug infection

•

• HTN , DM
Iiistilution
history
Natal :-. Home/
•
Labour last
•
ROM ( how much time
did the took to
come out ) baby
•
Instrumentation / vacuum
clear
•

diqoeu or meconium
stained .
 LCSCC or elective)
-

Emergency
Neonatal ( Immediate not)
Cry or
(
NRP
steps ]
-

history -

cyauosed
-

NICU
when ?
-

Breastfeed
-

Jaundice -

Phototherapy
-
passed urine or meconium ( 24 hrs )
(48hrs3