HYALINE

MEMBRANE
DISEASE
DEMOGRAPHIC
DATA
Name: MEDRANO, BABY BOY
Age: 36 weeks old
Sex: Male
Date of Birth: June 20, 2023
Citizenship: Filipino
Religion: Roman Catholic
BALLARD’S
SCORE
Ballard’s Score
 HYALINE
MEMBRANE
DISEASE
Hyaline Membrane Disease
a condition in newborn babies in which
the lungs are deficient in surfactant,
preventing their proper expansion and
causing the formation
of hyaline material in the lung spaces.
REVIEW OF
SYSTEMS
GENERAL: Wake, with good cry activity

SKIN: Pink, No pallor, No jaundice, No rashes, Good Skin Turgor

Flat, soft fontanelle, pink palpebral, conjunctivae, patent nostrils, no
HEENT:
alar flaring, no cleft lip, moist lips/oral mucosa
CHEST & Symmetrical chest expansion clear breath sounds,
LUNGS: (+) subcostal retractions
HEART & Adynamic precordium, Normal Rate, Regular Rhythms, No
VASCULAR: murmurs.
Soft abd, non distended, no palpable mass, normoactive bowel
ABDOMEN:
sounds, umbilical cord with 2 arteries & 1 vein, no bleeding
 GENITO-
Grossly Normal Male Genitalia
URINARY:
ANUS &
Patent anus, (-) urine output at birth, (-) bowel movement at birth
RECTUM:
EXTREMITIES: No deformities, No edema, full & equal pulses
Spine in midline, no tuft of hair, no sacral dimpling, no deformities,
SPINE:
no masses

NEURO EXAM: Active

ABNORMAL LAB
VALUES
 June 20, 2023

Result Indication
WBC 24.66 High
Result Indication
RBC 6.35 High
Monocyte 12.7 High
Hemoglobin 22.1 High MCV 101.5 High

Hematocrit 64.4 High MCH 34.9 High

RDW 15.2 High

 June 23, 2023

Result Indication
WBC 10.43 High
RBC 4.55 Low

Neutrophil 45.8 Low

Monocyte 15.10 High

MCH 32.4 High

COURSE IN
THE WARD
DAYS DESCRIPTION

1 • Pt. was hooked to CPAP & IV fluid

• Dx req: CBC w/platelet count @ 6th Hol, CRP 24th Hol, BCS, Babygram AP,
CBG 2nd Hol then @6th Hol
• OGT inserted and put on NPO
• Hooked to pulse oximeter
• Antibiotic were started
2 • CPAP shifted to IV nasal cannula @ 1-2 LPM
3 • Noted jaundice up to abdomen
• No apnea
• Retractions on auscultation, clear breath sounds
• Started phototherapy w/proper eye precaution
4 • Still w/jaundice
• Started aminophylline & OGT
DAYS DESCRIPTION

6 • Tolerated feeding w/2 episodes of BM

• PE was unremarkable w/stable vital signs
• Present OGT was continued

8 • Jaundice up to chest
• Decrease feeding
• Phototherapy started
9 • Continued phototherapy
10 • R facial jaundice
• Other PE was unremarkable
• Increase feeding
11 • d/c phototherapy
• Aminophylline shifted to oral theophylline
• Flotera drops was started
DAYS DESCRIPTION

12 • Pt. started MTV 0.3 mL OD

13 • Increase feeding
• Decrease IVF
15 • Light jaundice
• Increase feeding
17 • Stable w/facial jaundice
18 • Stable w/noted decrease in facial jaundice
21 • Scheduled for ROP screening
• Calmoseptine ointment for rashes
DRUG
STUDY
Theophylline 3mg/pptab; 1 pptab Q8
Ferrous (Ferlin Drops) 0.4mL OD HS
Hydroxyl Eyedrops, 1 drop on each eye x 4
doses Q15 minutes
Calmoseptine ointment for rashes Q diaper
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