Question & Answer in NB
Question ?
What factors
suggest hemolytic disease as a cause of jaundice in the newborn ?
Answer
Family
history of hemolytic disease
Bilirubin
rise of > 0.5 mg /dl/hr
Failure
of phototherapy to lower serum bilirubin levels
Ethnicity
suggestive of inherited disease such : G6PD
Onset of jaundice before 24hrs of age
Reticulocytosis
> 8% at birth
> 5%
during 1st 2-3 days
> 2%
after 1st wk
Changes in peripheral smear:
microspherocytosis,anisocytosis, target cells
Significant
decrease in hemoglobin
Pallor
& Hepato splenomegaly
Question ?
What are
the complications of exchange transfusions in the newborn ?
Answer
Acute:
Hypo
calcemia ( binding of ca by citrate )
Thrombocytopenia
Hyper
kalemia
Hypo
volemia
Diminished
oxygen delivery ( blood stored >5-7 days)
Late:
Anemia, Graft-versus-host disease
Question ?
Is
the ESR or CRP more helpful in the management of osteomyelitis ?
Answer
The ESR
was significantly elevated on days 2-5
ESR slowly
returned to normal within 3 wks of therapy
Answer
CRP
rises within 6-12 hrs of a triggering stimulus
Returns
to normal within a wk of therapy
Secondary
rise in either ESR or CRP could be a sign of
recrudescence
Question ?
What is
the presentation of Maxillary Osteomyelitis ?
Answer
Early
edema & redness of the Cheeks
Unilateral
Nasal Discharge
Swelling of the eyelid with conjunctivitis
Question ?
What
radiographic study are helpful to make the diagnosis of DDH?
(Developmental Dysplasia of the Hip )
Answer
Ultrasound
of the hip is the study of choice for suspected DDH in children
younger than 4 months of age .
The
ossific nucleus of the femoral head is completely cartilaginous and
therefore will not be seen on X
–
ray
After
4 months of age radiographs should be obtained .
Question ?
What
are the Risk factors for DDH ?
Answer
First
–
born status
Female sex
Breech presentation
Positive family history of DDH
About 2.5- 6.5 / 1000
Question ?
How
is the newborn hip exam performed ?
Answer
The Exam consist of the :
Ortolani
Barlow
Galeazzi maneuvers
|
