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NEONATAL & 6 WEEKS CHECK BY: AAA Muhamed

NEONATAL & 6 WEEKS CHECK BY: AAA Muhamed. Dr. AAA MUHAMED Consultant Paediatrician. Introduction :. Introduce yourself… Allowance must be made for prematurity ( for interpretation of growth & Dev.) Review of Information (Antenatal, SCBU, Discharge letters….)

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NEONATAL & 6 WEEKS CHECK BY: AAA Muhamed

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  1. NEONATAL & 6 WEEKS CHECKBY: AAA Muhamed Dr. AAA MUHAMED Consultant Paediatrician

  2. Introduction : • Introduce yourself… • Allowance must be made for prematurity ( for interpretation of growth & Dev.) • Review of Information (Antenatal, SCBU, Discharge letters….) • F.H & Social history : Correct any error.

  3. History : • Any worries about the baby ? • Any problem with feeding ? Breast / Bottle • Is the baby smiling ? • Does he look at mother & watch where she is going ? • Does he respond to her voice ?

  4. Observation : • Is the baby alert & interested in his surroundings ? • Does the baby dislike being handled ? • Is he adequately clean & clothed ? • What is the quality of the mother’s interaction with her baby ? warm / detached / depressed….

  5. Growth: • Plot weight, OFC, ? Ht. • Centile Chart. • Wt. Loss mostly due to inadequate intake.

  6. COLOUR: • Look for cyanosis…. • Look for jaundice…

  7. Be careful !

  8. SKIN : • General inspection for dermatitis, Icthyosis, monilia,…. • Strawberry Naevi… • Mongolian blue spots (do not confuse with bruises)

  9. “Common” skin finding :

  10. HEAD : • Head circumference • Head shape / asymmetry • Cephalhaematoma • Fused I.C sutures ? Craniostenosis • Fontanelle

  11. What do you think this baby has ?

  12. Dysmorphic features: • Multiple features may point towards specific Syndrome….

  13. Mouth: • Check for cleft palate (can be missed !) • Oral thrush / monilia

  14. Eyes: • Red reflex ( for cataract ) • Look for nystagmus, squint, structural abnormality • Conjunctivitis • Blocked naso-lachrymal duct

  15. EARS: • Malformation (can be associated with Deafness). • Neonatal hearing test.

  16. C.V.S • Look for central cyanosis • Tachypnoea • Femoral pulses • Heart murmur

  17. Respiratory system : • Look for tachypnoea • Look for recessions

  18. ABDOMEN: • ? Abdominal distension • Palpate for liver, spleen, kidneys • Umbilical hernia • Inguinal hernia (Needs referral) • Single umbilical artery

  19. What is your advice ?

  20. Genitalia • Undescended testicle (F.U) • Hypo & epispadias (Refer) • Hydrocoele (common & generally resolve) • Ambiguous genitalia

  21. HIPS • Will be discussed in detail. • Ultrasound Scan (High risk)

  22. DEVELOPMENT • Posture & gross motor • Vision • Hearing • Social behaviour

  23. OUTCOME: • Normal growth & health : congratulate… • Minimal deviation from normal : Explain & review. • Parental concern (Review). • Unequivocal departure from normal : Explain & refer. • If not sure : Observe / Discuss / Refer.

  24. THANK YOU !

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