Important knowledge

Paller + abdominal pain think about ▪︎ peptic ulcer ( dark stool) ▪︎ sickle cell sequestration crisis before 1 Y of age (rare ) ▪︎others

Signs of kernekterus

⚡️Complications of phototherapy (very important) .................................................... 1) diarrhea 2) dehydration (due to exposed to heat of light) also due to diarrhea if occur. (عادة ينطوه fliud ) 3) skin rash (or burn) (common and disappear by itself) 4) hypothermia (occur when the incubator is opened several times) or overheating 5) trauma to the eye ---corneal abrasions (from eye s cover), nasal occlusion 6) Bronze baby syndrome: When we treat baby with hyperbilirubinemia and the baby have direct hyperbilirubinemia

Bronze baby syndrome ▪︎complication of phototherapy on direct hyperbilirubinemia ▪︎Benign condition disappear after weeks or months.

intensive phototherapy (capsule) Is 470 degree of phototherapy covers the baby all over used to treat jaundice

⚡️اي كيس شاكين بي neonatal sepsis ضروري نسال على ال duration of membrian rupture بال perinatal لانه اذا طول اكثر من ١٨ ساعة يعتبر risk factor

Opisthotonus تصير بال kernekterus غالبا وياها تنكلب عيون الطفل (اغلبهم يموتون خلال هذه المرحلة )

⚡️Ever never put Ambu Bag for green neonate with RDS (pass meconium in utero) because risk of meconium aspiration غالبا يكون post term وتلكة اكو green meconium باضافيرة ووجهه وبطنه والحبل السري هذا اذا خليتله ambu راح تدخل ال meconium من oral cavity وتدفعه داخل ال lung وراح يموت لامحال لذلك لازم تستعملة sucker

⚡️causes of repeated meningitis in infants !! ▪︎Immunocompromised ▪︎undiagnosed skull fracture ▪︎undiagnosed dermal sinus in back (with CSF)

⚡️don't miss circumcision (الطهور) & ear piercing ( زرف الاذن ) in past surgical history Is very important in bleeding tendency

⚡️Ddx of large tongue ▪︎Beckwith-Wiedemann syndrome (BWS) ▪︎congenital hypothriodismm ▪︎mucopolysacaridosis

⚡️Beckwith-Wiedemann syndrome (BWS) ▪︎large body size at birth ▪︎ taller-than-average height during childhood ▪︎ large tongue ▪︎ hypoglycemia (low blood sugar).

⚡️Ddx of screaming attacks ▪︎Intussusception ▪︎fracture ▪︎Hair tourniquet ▪︎pneumonia ▪︎rarly otitis media

blueberry muffin rash Due to TORCHES infection

⚡️Heart rate (HR) in child <6Y age is calculated by using stethoscope

⚡️pacifier (الملهاية) reduce the risk of sudden infant death syndrome

⚡️passage of meconium don't exclude imperforated anus (my pass through fistula)

⚡️fever + rash in pregnency = risk of TORCH infection كل ما كانت بنهاية الحمل اكثر زاد ال risk of transmission لكن قلت ال severity والعكس صحيح

⚡️fever in late pregnancy have risk of microcephaly [while fever in early pregnancy have no risk] (د.نبيهه)

⚡️In S.O.B & cough If S.O.B start before cough (especially if sudden onset) think about foreign body (but not before 6m )