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Recognizing Signs of Serious Neonatal Illness

Learn to identify important clinical signs indicating serious neonatal illness such as lethargy, chest in-drawing, nasal flaring, abdominal distension, purpuric spots, jaundice, and more. Look out for localizing signs like pus draining from ear or painful joints. Be aware of conditions like cellulitis, osteomyelitis, septic arthritis, staph infection, meningitis, neonatal tetanus, birth asphyxia, and congenital syphilis.

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Recognizing Signs of Serious Neonatal Illness

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  1. Chapter 3Clinical 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. 47-49, 51

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

  21. Congenital syphilis (Ref. p. 67)

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