Download Care of the Newborn: A Handbook for Primary Care by David E. Hertz PDF

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By David E. Hertz

This instruction manual is a accomplished, concise, and obtainable advisor to the care of child babies, either fit and sick. It offers the fundamental middle of sensible wisdom that pediatricians, kinfolk practitioners, citizens, neonatal nurse practitioners, and clinical scholars have to convey optimum care to all neonates. The booklet could be simply learn in the course of a one-month neonatal rotation and used for fast reference.

Normal baby care, neonatal affliction approaches, and neonatal systems are mentioned and illustrated in an easy demeanour. The appendix offers a child formulary. The e-book additionally contains a bankruptcy on taking good care of the relations mourning a perinatal loss.

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Example text

Layperson terminology for nevus simplex includes “storkbite” (occiput) and “angel kiss” (supraorbit). This lesion needs to be distinguished from a port wine stain, which is abnormal and can have systemic implications. Port wine stains tend to be deeper in hue, larger, and unilateral. Vernix. Vernix is white, cheese-like material composed of cellular and other debris. It is present on the skin at birth and usually is absent in post-term infants. Mongolian spot. A Mongolian spot (Fig. 3-3) is a bluish/green, well-demarcated area of pigmentation that is most commonly noted in black, Native American, and Asian infants.

When noted in the trigeminal nerve distribution, particularly in the first branch (ophthalmic) distribution, Sturge-Weber disease must be considered. Port wine stain is also associated with syndromes such as Klippel-Trenaunay syndrome. Skull. Measurement and evaluation of the contour of the skull are important parts of the newborn examination. The newborn head is large relative to the body. If the baby is born in a cephalic presentation, considerable molding of the easily malleable skull bones may take place to facilitate passage through the birth canal (Fig.

3-2), which often involves the eyelids, glabella, and nuchal areas, is a pink/pale-red discoloration of skin. This lesion results from vascular ectasia and can persist for months. The lesion Figure 3-2. Nevus simplex. qxd 2/25/04 5:13 PM Page 25 Ch. 3 Physical Examination of the Newborn 25 4. 5. 6. 7. 8. 9. tends to get redder with crying. Layperson terminology for nevus simplex includes “storkbite” (occiput) and “angel kiss” (supraorbit). This lesion needs to be distinguished from a port wine stain, which is abnormal and can have systemic implications.

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