By Cath Harrison, Alan Gibson
A problem-based e-book on neonatology that covers in general encountered scientific situations and discusses every one in a regular question-based structure overlaying research effects (e.g. blood gases, X-rays, head scans, electrolytes) with specific solutions. the focal point is on universal medical difficulties, defined as they're prone to current themselves to the green trainee health professional. evaluate and administration is obviously lined, as are antenatal problems and counselling
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Additional resources for Practical Neonatology : for MRCPCH and Beyond
Defects are usually, but not always, detectable on anomaly scan. The baby should be examined carefully in the postnatal period with every attempt made to visualise the uvula to exclude a small posterior cleft. 36 cystic ﬁbrosis, intra-gut or intra-abdominal bleed, altered composition of meconium in the third trimester, trisomy 21 and other chromosomal abnormalities, intra-uterine growth retardation, fetal infection such as CMV and meconium peritonitis. The most common explanation is a normal variant at term.
Orchidopexy is usually carried out between 1 and 2 years to bring the testes down into the scrotum. 67. Bladder exstrophy. a. Bladder exstrophy is a rare condition and surgery is complicated. Management of this condition is normally only in a small number of supraregional centres and discussion with the nearest centre should have been started antenatally to make sure that an appropriate management pathway is decided. After birth the baby should be admitted to a neonatal unit and prophylactic antibiotics started.
Complete heart block. b. Fetal echocardiography is essential. This will conﬁrm the slow heart beat and may also allow detection of other cardiac defects which are commonly associated. Maternal anti-Ro antibodies should be measured as there is a strong association with complete heart block. 5 c. The infant will need careful examination following delivery and an ECG in the postnatal period. There is great variation in symptoms from none to very severe. d. Drug treatment is rarely effective and pacing is needed if the heart rate is very slow and the infant symptomatic.