Pedes Brs Neonatology

Front 1

how long should APGAR scoring go?

Back 1

do it every 5 minutes until you reach a score of 7

Front 2

what does the apgar score asses?

Back 2

-HR

-respirations

-muscle tone

-reflec irrritability

-color

Front 3

acrocyanosis

Back 3

blue extremities, pink body. can be normal

Front 4

jaundice is ALWAYS abnormal if:

Back 4

in FIRST* 24hours

Front 5

port-wine stains within region of opthalmic branch of trigeminal nerve (V-1)

Back 5

associated with intracranial/spinal vascular* malformations, seziures, intracranial calcifications*

Front 6

low femoral pulses in newborn

Back 6

think: coarctation

Front 7

bounding femoral pulses in newborn

Back 7

think: PDA

Front 8

urine draining through belly button

Back 8

persistent urachus

Front 9

EPI*spadius as often associated with bladder EX*trophy

Back 9

hypospadius is not

Front 10

in the neonate CYANOSIS ALWAYS* means emergency

Back 10

immediately diagnose and treat

Front 11

what test helps to evaluate wether neonatal cyanosis is due to cardiac v. pulmonary dz?

Back 11

100% ABG

Front 12

in pulm dz, what happens after 100% O2 is given?

Back 12

Pa02 has a HUGE increase >150mmHg

Front 13

what causes RDS???

Back 13

lack of surfactant

Front 14

a sufficient quantity of surfactant is produced after

Back 14

30-32 weeks

Front 15

when does surfactant even start developing?

Back 15

23-24weeks

Front 16

what two measurements in amniotic fluid indicate that the fetal lung is pretty mature?

Back 16

-phosphatidylglyceral*

-lecithin to sphigomyelin ration >2:1

Front 17

Dx of RDS

Back 17

CXR: "ground glass" lungs with diffuse atelectasis

Front 18

Tx RDS

Back 18

-02

-CPAP***

-exogenous surfactant* admin into trachea cures it

Front 19

what can develope from RDS?

Back 19

-BPD

-retinopathy of prematurity

Front 20

criteria for BPD

Back 20

1. mechanical ventilation during first 2 weeks***

2. clinical resp distress after 28 DAYS

3. need for 02 after 28 DAYS

4. CXR

Front 21

what is persistent pulmonary htn of the newborn (PPHN)?

Back 21

-anything (aside form heart dz) that leads to low bllod flow to lungs after birth

Front 22

top 2 causes of PPHN?

Back 22

-peinatal asphyxia

-MAS

Front 23

under what condition does baby swallow meconium in the womb??

Back 23

-under stress

Front 24

CXR shows:

-increased lung volume**

-diffuse patchy areas of atelectasis alternating with hyperinflation*

Back 24

meconium aspiration syndrome

Front 25

no breathing for 15-20 seconds

Back 25

apnea of prematurity

Front 26

peak of physiological jaundice

Back 26

peaks at 3-4 days, starts decreasing, ends by week 1

Front 27

neonate with excessive wakefulness*, jittery, feeding intolerance*, hypereflexia*, tremulousness

Back 27

mom was on drugs

Front 28

how to NEVER treat diaphragmatic hernia

Back 28

NEVER bagmask, could distend the bowel and increase lung compression :((((

Front 29

complications of necrotizing enterocolitiz

Back 29

thrombocytopenia* and DIC*

Front 30

Dx of nec entero

Back 30

pneumatosis intestinals (air in bowel wall) , with thick bowel walls, abdominal distension, bloody stools

Front 31

Tx of NEC if pneumatosis intestinalis is present

Back 31

ex-lap

Front 32

DDX of hypoglycemia (<40)

Back 32

-diabetic mom

-nesidioblastosis (panc islet cell hyperplasia tumor)

-galactosemia

-fructose intolerance

-aminoacidopathy

-G.H. deficiency

Front 33

what causes Polycythemia in newborn (hematocrit >65%)?

Back 33

-placental insufficiency==> more EPO

-hypoxemia==>more RBC made

-delayed cord clamping==>increased placental transfusion

Front 34

Tx for polycythemia in neonate

Back 34

partial exchange transfusion