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