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Neonatal Examination DR.MAULIK SHAH MD.(PED) ASSOCIATE PROFESSOR OF PEDIATRICS M.P.SHAH MEDICAL COLLEGE, JAMNAGAR.

When to do ??:

When to do ?? Immediately after birth At 24 hrs. Before discharge from the unit. At follow up. Maulik Shah presentation...

Pre Requisites:

Pre Requisites Hand Washing / Asepsis Clean Draught Free environment Prevention of hypothermia Adequacy of Light Equipments (Measuring/ Recording) Record Sheet Maulik Shah presentation...

Evolution of monitoring:

Evolution of monitoring Maulik Shah presentation...

Evolution of monitoring:

Evolution of monitoring Wireless (Bluetooth) Stethoscope Head Maulik Shah presentation...

Principles:

Principles Examination should be thorough. Prior knowledge of examination is must as “Eyes see only what mind knows “…! Head to toe Quick Proper Technique Pain ful things / procedures at last. Keep the mind open without prejudice. Maulik Shah presentation...

Scheme:

Scheme Asses Look – listen – feel Classify Record Maulik Shah presentation...

At birth examination is must….:

At birth examination is must…. Maulik Shah presentation...

At Birth:

At Birth Aims: Identify at risk babies & plan management. To screen for anomalies/ deviations. To get a baseline record. Maulik Shah presentation...

Head :

Head Size Shape Fontenelle Any swellings Maulik Shah presentation...

Size:

Size Too big / too small Maulik Shah presentation... hydrocephalus microcephaly

Fontanelle & sutures:

Fontanelle & sutures Maulik Shah presentation...

Cranio syostosis:

Cranio syostosis Maulik Shah presentation...

Shape:

Shape Maulik Shah presentation... Trigonocephaly

Swelling :

Swelling Caput succedenum Maulik Shah presentation...

Cephalhematoma:

Cephalhematoma Maulik Shah presentation...

Cephalhematoma vs Caput Succedanum:

Cephalhematoma vs Caput Succedanum Maulik Shah presentation...

Measuring HC:

Measuring HC Maulik Shah presentation... Measure the maximum circumference of head from frontal to occiput region by encircling between supra orbital area to the most prominent part of occiput . Normal : 32-35.5cms.(10 th -90 th centile ) Microcephaly : Smaller for age (less then 10 th centile ) Macrocephaly : Larger for age (more then 95 th centile )

Eyes :

Eyes Subconjuctival Hemorrhage Maulik Shah presentation...

Eye discharge / Epiphora:

Eye discharge / Epiphora Pus discharge Maulik Shah presentation...

Ear :

Ear Maulik Shah presentation... Ear Malformation Hairry Pinna

Mouth :

Mouth Cleft lip + palate Natal teeth Maulik Shah presentation...

Hypoplasia of depressor anguli oris:

Hypoplasia of depressor anguli oris Maulik Shah presentation...

The mandible- retrognathia:

The mandible- retrognathia Maulik Shah presentation...

Sterno mastoid Tumour:

Sterno mastoid Tumour Maulik Shah presentation...

Chest Retractions:

Chest Retractions Maulik Shah presentation...

Umbilicus:

Umbilicus Noramal umbilicus Cord just fallen Umbilical Granuloma © Maulik shah © Maulik shah Maulik Shah presentation...

Limb anomaly:

Limb anomaly Rudimentary finger Absent radius Maulik Shah presentation...

Acrocynosis:

Acrocynosis Maulik Shah presentation...

Genitals w/f DSD (disorders of sexual dysfunction:

Genitals w/f DSD (disorders of sexual dysfunction Maulik Shah presentation...

Neural tube defects:

Neural tube defects Maulik Shah presentation...

Neural Tube Defects:

Neural Tube Defects Open neural tube defect Occipital encephalocele Maulik Shah presentation...

A tuft of hair in back:

A tuft of hair in back Maulik Shah presentation...

Spine – Sacral dimple:

Spine – Sacral dimple Maulik Shah presentation...

Sacrococcygeal teratoma:

Sacrococcygeal teratoma Maulik Shah presentation...

Imperforated Anus:

Imperforated Anus Maulik Shah presentation...

Skin :

Skin Maulik Shah presentation...

posture:

posture Maulik Shah presentation...

Subluxation of the Hip:

Subluxation of the Hip Maulik Shah presentation...

Gestational Assesment:

Gestational Assesment Maulik Shah presentation...

Physical Maturity:

Physical Maturity Skin: thicker , less translucent, dry, peeling Lanugo: fine non pigmented hair all over 27-28 wks disappears gradually Plantar surface: presence or absence of creases Breast: areola development Ear cartilage Eyelid opening External genitalia Rugation, desend Prominent labia majora Maulik Shah presentation...

Neuromuscular Maturity:

Neuromuscular Maturity Posture Square window Arm recoil Poplitteal angle Scarf sign Heel to ear Maulik Shah presentation...

Physical Maturity:

Physical Maturity Maulik Shah presentation... score -1 0 1 2 3 4 5

Neuromuscular Maturity:

Neuromuscular Maturity Maulik Shah presentation...

General Examination :

General Examination Conciousness Vitals – T, P,R,CRT,BP Colours – pallor,plethora,jaundice,cyanosis Swellings Others (from head – toe) Maulik Shah presentation...

Systemic Examination:

Systemic Examination RS CVS P/A CNS Maulik Shah presentation...

PowerPoint Presentation:

Maulik Shah presentation...

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