Neonatal Quiz

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Presentation Description

Try and identify these neonatal problems

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By: DrRK (16 month(s) ago)

Excelent presentation. Excelent scientific material. Will be help in understanding basics in neonatology. I want this presentation. thanks

Presentation Transcript

Neonatal Quiz : 

Neonatal Quiz Dr S Sen Specialist Registrar Paediatrics The Royal Oldham Hospital

Normal or Abnormal ? : 

Normal or Abnormal ?

Neonatal Jaundice : 

Neonatal Jaundice Unconjugated Physiological Rhesus disease ABO incompatibility Other causes haemolysis – spherocytosis etc Breast milk jaundice Hypothyroidism Sepsis Criglar-Najjar syndrome & Dubin Johnson syndrome Gilberts and Rotor’s Syndrome

What’s wrong with this nappy? : 

What’s wrong with this nappy?

Pale stools : 

Pale stools Indicates Biliary obstruction Two main causes Extrahepatic biliary atresia & Choledochal cyst Will need HIDA scan and possible liver biopsy For EHBA results are best with surgery before 8 weeks of life

Neonatal Jaundice : 

Neonatal Jaundice Conjugated Extra Hepatic biliary Atresia( EHBA) Choledochal cyst Neonatal Hepatitis Metabolic disease TPN treatment Alagille syndrome

What does the CXR show ? : 

What does the CXR show ?

Rib Fractures : 

Rib Fractures Caused by multiple resuscitation attempts in this premature baby Indication of Child Abuse –Posterior fractures more significant than anterior ones

Spot the Diagnosis : 

Spot the Diagnosis

Hydrocephalus : 

Hydrocephalus Grossly enlarged head Dilated scalp veins Sunsetting sign Complication of IVH

What is the full name of this condition? : 

What is the full name of this condition?

Congenital Bilateral Talipes Equinovarus : 

Congenital Bilateral Talipes Equinovarus If positional needs physiotherapy If fixed needs orthopaedic input and close examination for neurological lesions

Spot the Diagnosis : 

Spot the Diagnosis

Spina bifida : 

Spina bifida Open myelomengicoele Paralysis and sensory loss legs Neuropathic bladder and bowel Hydrocephalus

What is this congenital abnormality? : 

What is this congenital abnormality?

Exomphalos : 

Exomphalos Herniation of gut outside abdomen but within umbilical cord Usually associated other abnormalities

What is this congenital abnormality? : 

What is this congenital abnormality?

Gastroschisis : 

Gastroschisis Intestines outside the Abdomen-Developmental abnormality Usually not associated with other congenital abnormalities

What are the complications of this condition? : 

What are the complications of this condition?

Cleft lip & Palate : 

Cleft lip & Palate Feeding problems Hearing Problems Speech Problems Dental problems Cosmetic

3 month of baby…. : 

3 month of baby….

Fracture femur : 

Fracture femur Fractured femur in a baby Must be child abuse as child will not be walking yet

What could have caused this ? : 

What could have caused this ?

Foetal hydrops : 

Foetal hydrops Severe anaemia Congenital infections Cardiac failure Congenital nephrotic syndrome-this was the diagnosis in this case Idiopathic (50%)

Diagnosis ? : 

Diagnosis ?

Spinal Muscular Atrophy : 

Spinal Muscular Atrophy Neuromuscular disease characterized by degeneration of motor neurons,resulting in progressive muscular atrophy (wasting away) and weakness muscle weakness poor muscle tone weak cry weak cough limpness or a tendency to flop difficulty sucking or swallowing

Slide 27: 

Diagnosis ? Downs Syndrome Prader Willi Syndrome Myotonic dystrophy

What is wrong with this boy ? : 

What is wrong with this boy ? 3 years 10 yrs

Prader-Willi Syndrome : 

Prader-Willi Syndrome First described by Prader, Willi and Labhart in 1956 Incidence 1/15,000 – 1/25,000 Deletion of chromosome 15q11-13 Dysmorphic syndrome which affects the CNS, has a predilection for hypothalamus

Thank you for staying awake : 

Thank you for staying awake