Pediatrics - Hourus University Notes PDF

Pediatrics - Hourus University Nutrition requirement Notes Notes Teratogenicity Most Common Cause Birth defect in child →Multifactorial First month = Preimplan...

Pediatrics - Hourus University Nutrition requirement Notes Notes Teratogenicity Most Common Cause Birth defect in child →Multifactorial First month = Preimplantation exposure → Embryonic lethality Pre organogenesis = end of 1-2 month → Morphological defect Fetal second and third trimester →Functional disorder growth retardation Carcinogenesis Can Cause neural tube defect → Folic acid cost Common Anticonvulsant -hyperthermia = pyrexia -Trimethoprim Val Pro Lic acid - DM Corticosteroids → cleft Palate + adrenal atrophy DM → Polythemia + cardiomyopathy + hypo Glycemia left colons. Tetracycline → enamal dysplasia Warfarin → Nasal hypoplasia systemic lupus → Congenital heart block rubella= phenyketouria → mental retardation+ patent ductarteria Lithium → Ebstein anoma Lis SYPILIS Retinoids → hydrocephalus rubella → Microcephaly Not Macrocephaly streptomycin→ defness Anti-epileptic cause neural tube defect →Sodium valPoroate. Thalidomide →PheComelia DM →respiratory distress syndrome Anti Parasitic = Metronidazol →Safe in Second, third trimest Varicella zoster → ZigZaj Dr.Noaman Page 1  Pediatrics - Hourus University Nutrition requirement Care of newborn very low Birth weight →B.W less than 1500 g Low Birth weight→ Less 2.5 kg. APgar Score is good →A5 minute Apgar score >7 Case “H.R=60- slow respiratory effort- some plexion - has grimacting - His 1 minute Apgar score is →Four Case «H.R=40- slow respiratory effort- Not responce to Catheter in nostril his 1 minute Apgar score is → Two Case & H.R = 130- good muscle tone,- strong cry- grimace, Apgar score→ 7 case “irregular respiration- H.R-80- blue- Pink frunk- some flexion, grimacing His Apgar score → Five Large for gestational age→ B.W above goth centile. Case “irregularspiration- HR=80- some flexion- grimacing Apgar score → 4 Post term newborn Gastational age more than 42 w. Low birth weight →weight below 2500 gm Avarage for gestational age → B.W 10th goth Perchtille Small for gestational age →B.W below 10th Percintille Preterm age →Live born 7 Cephalhematoma Not →Resolves within 2-6 days reflexes fully developed by 37 W → Palmer grasp + Rooting moro Cephalhe matoma should be drained →” No x”/ No subaponeurotic Heeding Moro reflax absent in → use Morphine during delivery ▪ severe Prematurity. ▪ Down syndrome ▪ small for gestational age Normal→ Milia + Erythema Toxicum + Mongolian spots, Vernix caseosa Thermoregulation Treatment of hypothermia → Kangaroo Care Normal Temperature of Newborn → 36.5 -37.5 Hate loss in infant is faster than older children due to →increase surface area. Axillary →+O.S. , Rectal →0.5 Moderate hypothermia → 32-36 Managment of hypothermia → radiant warmer servo control Most common problem in hypothermic infant→hypoglycemia -Most Common cause of hyperthermic infant→ infection Dr.Noaman Page 3