1. Chapter 3 Clinical signs of serious neonatal illness

2. Lethargy

3. Chest in-drawing
(Ref. p.87)

4. Nasal flaring
(Ref. p.87)

5. Abdominal distension - cellulitis
(Ref. p.54)

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

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

8. Jaundice, abdominal distension
(Ref. p.64)

9. 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

10. Cellulitis / osteomyelitis
(Ref. p.288)

11. Septic arthritis
(Ref. p.186, 289)

12. Skin pustules: staph infection

13. Breast abscess
(Ref. p.287)

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

15. Conjunctivitis
(Ref. p.66)

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

17. Bulging fontanelle
(Ref. P.54)

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

19. Birth Asphyxia
Ref. p , 51

20. Birth Asphyxia
(Ref. p )

21. Congenital syphilis
(Ref. p. 67)