Chapter 3 Clinical signs of serious neonatal illness

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Presentation transcript:

Chapter 3 Clinical signs of serious neonatal illness

Lethargy

Chest in-drawing (Ref. p.87)

Nasal flaring (Ref. p.87)

Abdominal distension - cellulitis (Ref. p.54)

Purpuric (septic) spots, abdominal distension (Ref. p.168)

Abdominal distension: bowel obstruction (Ref. p.283)

Jaundice, abdominal distension (Ref. p.64)

Look for localizing signs Pus draining from ear Skin pustules Umbilical redness extending to the peri-umbilical skin or draining pus Painful joints, joint swelling, reduced movement

Cellulitis / osteomyelitis (Ref. p.288)

Septic arthritis (Ref. p.186, 289)

Skin pustules: staph infection

Breast abscess (Ref. p.287)

Fever and umbilical redness and swelling (Ref. p.54)

Conjunctivitis (Ref. p.66)

Suspect meningitis if: General illness Irritability Vomiting everything Lethargy Tense or bulging fontanelle Stiff neck (late) High pitched cry Apnoeic episodes Convulsions

Bulging fontanelle (Ref. P.54)

Trismus and increased muscle tone - neonatal tetanus (Ref. P.25)

Birth Asphyxia Ref. p. 47-49, 51

Birth Asphyxia (Ref. p. 47-49)

Congenital syphilis (Ref. p. 67)