1. Chapter 3 Clinical signs of serious neonatal illness

2. Lethargy

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

4. Nasal flaring

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. (Ref. p.287) Breast abscess

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. 47-49, 51

20. Birth Asphyxia (Ref. p. 47-49)

21. Congenital syphilis (Ref. p. 67)