ب5ونص نبلش😔

يلا نبلش ل٧

Note:
🔺initially examination for newborn ?after delivery

And 2nd examination (more details) within 24hr of birth

🔺congenital anomaly 3-5% of infant

🔺mcq/ physical activity may be absent in?
1-during sleep
2- during illness
3-during take drugs
فمراح يحرك رجلة اثناء استلقائه
او مراح يحرك ايدة ورجلة اثناء البچي

🔺in active infant have?
-tremulous movements ( like tremor ) with ankle or jaw myoclonus (benign condition)

🔺in quite state infant?
Convulsions twitching
🔺generalised edema may occur with?
1-prematurity infant
2-hypoproteinemia due to hemolysis
3-congenital nephrosis

Unilateral edema in female
Is initial sign of turner syndrome

Feet acrocyanosis
Or hand cyanosis
Its harmless condition

Skin mottling

Is extraordinary division of the baby from the forehead to the pubis into red and pale halves

Eyelid transient macular haemangioma
And also cold
Stork bute hemangioma

Magnolian spots

Blue well demarcated areas of hyperpigmentation over buttocks and back are common and usually disappear within 1st year
Mcq

The skin of premature infant is
-thin
-delicate
-tends to be deep red
-coverd by lanugo hair

Spina bifida

Tuft of hair over spine

Presence of meconium

Brownish-yellow skin
May cause intrapartum asphxia(اختناق داخل رحم الام)
لان موجود بلamniotic fluid

All infant should have their head circumference charted

Vaginal delivery?
Head of baby is molded
Why?
Due to prolonged engagement of head

C/S delivery?
Head of baby is round
شلون افحص الsutue?
By palpation

Note:
Anterior frontinle closed after 9-18 months

Posterior frontinle closed first 4months

If baby have premature fusion of suture?
Cranial synatosis

حجم طبيعي للsuture?
20mm+\- 10 mm

اذا كبر عن حجمة او بقة مفتوح لعدة اسباب ؟

1-achondroplasia
2-hydrocephaly
3-prematurity
4-down syndrome (trisomy in 21)
5-patau syndrome (triasomy in 13)
6- Edward’s syndrome ( trisomy in 18)
7-vit D deficiency (rickets)

اذا جان اصغر ؟

1-microcephaly
2-craniosynostosis
3-congenital hyperthyroidism

Hydrocephaly

Examination by transilliumination of abnormal skull in a dark room

Plagiocephaly

Is asymmetrical skull due to utero position force on skull

Microphthalmia

عين اصغر من عين لخ

About low set ears

Eyes

Open spontaneously if the infant is
Held up ترفعة للاعلى
And tipped gently forward backward
تحني للامام وثم للخلف بلطف

Conjunctiva and retina haemorrhage are common with delivery and resolving by 2weeks