Neonatology for students

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Presentation Transcript

Neonatology : 

Neonatology Dr Sam Sen Specialist Registrar Paediatrics North western Deanery 15/11/2010 1 MUMPS lecture/MRI/4th Nov 2010

History : 

History 19th Century: First Incubator -Parisian obstetrician Stéphane Tarnier modified a warming chamber for the rearing of poultry in 1878 1900s: Infant Mortality Rates—A Mirror of the Nation’s Health 1910s: Newborns in a ‘No-Man’s Land’ 1930s: Rebirth of the Incubator -Hess oxygen box in 1934 1940s: Clinical Triumphs, New Challenges 1950s: Newborns as Bona Fide Patients 1960s: Contemporary Newborn Medicine 1970s: Breathing Easier 1980s: Surfactant Therapy 1990s: The Micropreemie 2000s: Ethical dilemmas 15/11/2010 2 MUMPS lecture/MRI/4th Nov 2010

What is Neonatology ? : 

What is Neonatology ? Neonate – Baby under 28 days of life Logy means study Neonatology is a subspecialty of paediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn infant 15/11/2010 3 MUMPS lecture/MRI/4th Nov 2010

What is Prematurity ? : 

What is Prematurity ? NEONATES: Birth to 28 days of life Term birth :37-42 weeks gestation Preterm :<37 weeks Age of Viability : 24 weeks Post term : 42 wks or more Low Birth Wt.(LBW): Less than 2500gms. Very Low Birth Wt.(VLBW):<1500gms. Extremely Low Birth Wt.(ELBW):<1000gms 15/11/2010 4 MUMPS lecture/MRI/4th Nov 2010

How small is small? : 

How small is small? Smallest babies ever born and survived Millie(567 gms) Tom thumb ( 275 gms) Rumaisa(244 gms) Aaliyah( 340 gms) 15/11/2010 5 MUMPS lecture/MRI/4th Nov 2010

Common Neonatal Problems : 

Common Neonatal Problems 15/11/2010 6 MUMPS lecture/MRI/4th Nov 2010

Congenital Defects : 

Congenital Defects 15/11/2010 7 MUMPS lecture/MRI/4th Nov 2010

Multiple Defects : 

Multiple Defects 15/11/2010 8 MUMPS lecture/MRI/4th Nov 2010

Gastrochisis : 

Gastrochisis 15/11/2010 9 MUMPS lecture/MRI/4th Nov 2010

Exomphalos : 

Exomphalos 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 10

anencephaly : 

anencephaly 15/11/2010 11 MUMPS lecture/MRI/4th Nov 2010

Cleft lip and palate : 

Cleft lip and palate 15/11/2010 12 MUMPS lecture/MRI/4th Nov 2010

Conjoined twins : 

Conjoined twins 15/11/2010 13 MUMPS lecture/MRI/4th Nov 2010

Hypospadias : 

Hypospadias 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 14

RESPIRATORY PROBLEMS : 

RESPIRATORY PROBLEMS 15/11/2010 15 MUMPS lecture/MRI/4th Nov 2010

Surfactant deficient lung disease : 

Surfactant deficient lung disease 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 16

Congenital diaphragmatic Hernia : 

Congenital diaphragmatic Hernia 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 17

Pneumothorax : 

Pneumothorax 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 18

Meconium aspiration syndrome : 

Meconium aspiration syndrome 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 19

CONGENITAL HEART DISEASE : 

CONGENITAL HEART DISEASE 15/11/2010 20 MUMPS lecture/MRI/4th Nov 2010

Fallot’s Tetralogy : 

Fallot’s Tetralogy 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 21

asd : 

asd 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 22

VSD : 

VSD 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 23

Transposition of Great Vessels : 

Transposition of Great Vessels 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 24

Cardiac surgery : 

Cardiac surgery 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 25

SYNDROMES : 

SYNDROMES 15/11/2010 26 MUMPS lecture/MRI/4th Nov 2010

Down’s syndrome : 

Down’s syndrome 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 27

Prader willi syndrome : 

Prader willi syndrome 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 28

Turner’s syndrome : 

Turner’s syndrome 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 29

Trisomy 13 : 

Trisomy 13 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 30

COMMON SKIN PROBLEMS : 

COMMON SKIN PROBLEMS 15/11/2010 31 MUMPS lecture/MRI/4th Nov 2010

Strawberry Naevus : 

Strawberry Naevus 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 32

Colloidon Baby : 

Colloidon Baby 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 33

Aplasia Cutis : 

Aplasia Cutis 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 34

Giant Hairy Naevus : 

Giant Hairy Naevus 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 35

Cradle cap : 

Cradle cap 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 36

ORTHOPAEDIC PROBLEMS : 

ORTHOPAEDIC PROBLEMS 15/11/2010 37 MUMPS lecture/MRI/4th Nov 2010

Club Foot( Talipes) : 

Club Foot( Talipes) 15/11/2010 38 MUMPS lecture/MRI/4th Nov 2010

phocomelia : 

phocomelia 15/11/2010 39 MUMPS lecture/MRI/4th Nov 2010

Lobster feet : 

Lobster feet 15/11/2010 40 MUMPS lecture/MRI/4th Nov 2010

Polydactyly and syndactyly : 

Polydactyly and syndactyly 15/11/2010 41 MUMPS lecture/MRI/4th Nov 2010

Osteogenesis imperfecta : 

Osteogenesis imperfecta 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 42

Complications of Prematurity : 

Complications of Prematurity 15/11/2010 43 MUMPS lecture/MRI/4th Nov 2010

Chronic Lung disease : 

Chronic Lung disease 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 44

Necrotising Enterocolitis : 

Necrotising Enterocolitis 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 45

Retinopathy of Prematurity : 

Retinopathy of Prematurity 15/11/2010 46 MUMPS lecture/MRI/4th Nov 2010

hydrocephalus : 

hydrocephalus 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 47

PVL & Neurodisability : 

PVL & Neurodisability 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 48

Our aim : 

Our aim 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 49

Thank you for listening : 

Thank you for listening 15/11/2010 MUMPS lecture/MRI/4th Nov 2010 50