But this is not the case every time

HOW ? 3 IMPORTANT THINGS

COMMON NEONATAL PROBLEMS

BIRTH TRAUMA

INTRACRANIAL BLEED

INJURY TO BRACHIAL PLEXUS ERB`S PALSY

Asymmetric MORO`S Reflex

FACIAL PALSY

COMMON CONGENITAL ANOMALIES APPARENT AT BIRTH

POLYDACTYLY

OPERATIVE INTERFERANCE NEEDED

TELIPES EQUINO VARUS

ALTERNATE COMMONLY USED TERMS

Congenital Dislocation of Hip Joint

CLEFT LIP AND CLEFT PALATE

POST OPERATIVE RESULTS

LET HIM SMILE AND HIS FAMILY TOO

PIERRE ROBIN SYNDROME

HYDROCEPHALUS

SUN SETTING SIGN

VP SHUNT

UMBILICAL POLYP GRANULOMA

HYPOSPADIAS

AMBIGUOUS GENITALIA

MALE(XY) with poor growth of penis/scrotal sac due to lack or Insensitivity to male hormones or FEMALE(XX) with enlarged clitoris due to excess of male hormones

ACRO-CYANOSIS VR CENTRAL CYANOSIS

INFANT OF DIABETIC MOTHER [ I D M ]

INFANT OF DIABETIC MOTHER  Macrosomia  HYPOGLYCEMIA  Hypocalcemia  Hypomagnesemia  Peri-natal Asphyxia and Birth Injuries  R D S  T T N  HYPERTROPHIC CARDIOMYOPATHY  Polycythemia and Hyperviscosity  Renal Vein Thrombosis

HYPOGLYCEMIA DEFINITION: Blood Glucose Level < 45 mg/dl WHAT TO DO: Recheck it & send sample to Lab Is the infant symptomatic ?(off feed,lethargic, Jittery,fits,coma) Is Mother Diabetic ? How is the feeding?

HYPOGLYCEMIA(cont.) Common Causes : Peri-natal Stress Sepsis IUGR Preterm, Post term Babies IDM Poor Feeding

HYPOGLYCEMIA(cont.) #If SYMPTOMATIC or Sugar Level < 25 mg/dl IMMEDIATELY give 2ml/kg of 10% Dextrose through I.V. push at 1 ml per min # then provide continuous I.V. infusion at 6 – 8 mg of 10% Dextrose per kg per min # if sugar level is between mg/dl then oral feeds are preferred # CONTINUOUS OBSERVATION #CONTINUOUS MONITORING OF GLUCOSE LEVELS #TREAT THE CAUSE

HEMORRHAGIC DISEASE OF NEW BORN

1 MG OF VITAMIN K AT BIRTH

No stool in 48 hours

MECONIUM PLUG SYNDROME

NECROTIZING ENTERO-COLITIS N E C

TRACHEO – ESOPHAGEAL FISTULA T E F

NO URINE IN 48 HOURS OLIGURIA : LESS THAN 0.5 – 1 ml/kg /hour IMMEDIATE QUESTION : bladder palpable or not D/D PRE RENAL CAUSES (Poor Renal Perfusion) Hypotension, Sepsis, Dehydration RENAL CAUSES Renal Agenesis, Pylonephritis, Renal Vein Thrombosis POST RENAL CAUSES( Obstruction) #Neurogenic Bladder #Urethral Stricture #POSTERIOR URETHRAL VALVES

POSTERIOR URETHRAL VALVES

P U V CAN BE DIAGNOSED ANTE - NATALLY

Conjunctivitis

BLOCKED NASO - LACRIMAL DUCT

UMBILICAL SEPSIS

SERIOUS NEONATAL INFECTIONS  SEPTICEMIA  MENINGITIS  PNEUMONIA  TORCH INFECTIONS  TRANSMISSION OF HEPATITIS B & C  TRANSMISSION OF AIDS VIRUS

HYPOTHYROID CHILD