PowerPoint Presentation: 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...