By Richard Cantor, P. Sadowitz
A whole medical reference at the administration of neonates in emergency and acute care settings! Neonatal Emergencies information the diagnostic techniques and medical administration ideas for the whole spectrum of acute affliction and emergencies obvious within the neonatal interval. The publication is logically equipped by way of anatomic sector and more desirable by means of a hundred full-color illustrations. positive factors: An excessive clincal focus--explores the entire matters pertinent to formulating a winning approach for powerful scientific administration in those hard sufferers particularly designed to satisfy the day-by-day medical wishes of the emergency physician--features a handy anatomically-based association and content material incorporated for its hands-on price a hundred full-color illustrations specialist authorship--written via twenty emergency physicians who deal with those problems each day Authoritative, system-based insurance of the neonatal difficulties almost always encountered within the emergency division, together with: Head, Eye, Ear, and Neck Neurologic respiration Cardiac belly Genitourinary Orthopedic Dermatologic Infectious Hematologic
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Extra info for Neonatal Emergencies (Red & White Emergency Medicine)
Often, the application of tetracaine before the examination will calm the baby, signifying an abrasion and leading to its diagnosis and treatment. The ears should be examined for acute otitis media. Contusions around the ears may suggest trauma. Any signs of trauma merit a head CT looking for subdural hematomas. The mouth and hypopharynx Figure 2–2. Corneal abrasion in a crying neonate. Source: From Knoop KJ, Stack LB, Storrow AB: Atlas of Emergency Medicine, 2nd ed. New York, NY: McGraw-Hill, 2002.
Electrolytes, blood gas, lactate, and ammonia levels can be sent for a quick screening in the acutely ill child suspected of having a metabolic disorder. These all require prompt treatment because delayed treatment can have dire outcomes. 15,14 Hypoxic ischemic encephalopathy from birth trauma or prolonged perinatal hypoxia can lead to decreased tone. Intracranial hemorrhage secondary to premature delivery, neonatal stroke, or nonaccidental trauma also often progress to hypotonia. In addition to injuries, defects in brain structure may lead to decreased tone.
Sucking pads are areas of thickened epithelium on the lip mucosa. These may be present at birth and cause is unknown. They resolve spontaneously and require no treatment. The oral mucosa should be moist. The lips and oral cavity should be free of ulcerations. Ulcerations are associated with herpetic stomatitis, aphthous ulcers, metabolic disorders, and drug reactions. Small white shiny masses called epithelial pearls are common on the gingiva. Epithelial pearls often occur in clusters. White bumps seen in the midline at the junction of the hard and soft palate are Epstein pearls.