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B/O Hemanthi

NEONATAL EXAMINATIONWHEN TO EXAMIN- babies of high risk pregnancies Immediately after birthAll routine newborn check before home

BEFORE EXAMINATION Talk to mother Hand wash warm handInitially observeColour-pink,pallor,cyanosis.Respirationposture

HEADOFC-33-36Caput succedaneumChephalhaematoma/bruising face/sub apon.HgAFPost fontanelleLarg/small headEYEEyes wide apart(hypertelrism)Eye dyschargeSubcon.HgCataractCloudy corneajaundiceEARSLow set earsAbnormally shaped ears

NOSEObstruction resp. difficulies/chonal atresia.Flairing of nasiNECKSternocleidomatoid tumourBronchial cystNeonatal goitreFracture of clavicleShort neckCHESTAccessory nipplesBreast hypertrophy with or without milk(mastitis neonatrum)>AP diameter-?aspiration.ARMSArm lying in extension-Erb s palsyUpper n.root C5-C6Arm in strait /hand pronate/fingers flexed(waiters tip position)Klumpke paralysis (C7,8 T1)-weakness of wrist extensorHANDSSyndactolyaPoly dactylySingle palmer creaceNail-greenish stain,bluis stain.RESPIRATORY SYSTOMRATE/PATTERNApnoeic attacksRecessions-suprasternal,ICR,SCRGrunting

CVSCyanotic heart dis. during neonatal period-cyanosis,dyspnoea,+/- murmursAcyanotic-if large VSD/PDA

ABDOMENDistensionScaphoid abdomen(diaphragmatic hernia)Umbilical stump-erythema,discharge,foul amellingOmphalocele

genitaliaFEMALE-white mucoid discharge /pv bleedingMALE-hypospadias/hydrocele/inguinal hernia/undesended testisAmbiguous genitaliaLOWER LIMBSCngenital thalepusPositional thalepusSPINEEncephaloceleMeningomyeloceleMiningoceleSpinabifida occulta-faiiure of fusion of vertbral arch,overlying skin lesion-hair,lipoma,birth markHIPSDislocationMOUTHCleft lip/palateEpstein pearlsNeonatal teethMicrognathia

GROWTH PARAMETERSWtLengthOFC

REFLEXESMoroSuckingRoutingSteppingWalkingPalma & plantar graspAsymmetric tonic neck reflex Thank You.

LOOK FOR DANGER SIGNSGrunting/tachypnoea/recessionCyanosisHypothermiaHypotoniaFrothing from mouthPoor suckingDistended abdBleeding from any sitePallorFittingFeverUmbilical pus dischargePurulent eye dyschargePustules >10