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

Congenital glucoma

The cornea larger than 1 cm in diameter in term infant

Iris

Catract or tumour in retina(retinoblastoma)
شوكت نتاكد من حدوثهم؟
بوجود leukokoria

Epstein pearls

Appear in hard palate is a temporary accumulation of epithelial cells

Ferenlum

Torticollis

Mcq 🚨
Head turn toward affected site
And the face(chin) turn to unaffected site

اذا ما تعالج شيصير؟
1-plagiocephaly
2-facial asymmetry
3-hemihypoplasia

Turner syndrome

Female have
1-Redundant skin or webbing in neck
2- intrauterine lymphedema
3-both clavicle palpated
4-widely spaced nipples with shield- shaped chest

من تقيس respiratory rate
لازم تكمل دقيقة ميصير تزاغل!

Normal30-40/min
In premature infant higher and fluctuations more widely

If tachypenia over 60/min

Indicate:
Pulmonary,cardio,acidosis

Mcq

استراحة ربع ساعة ونكمل

يلا نبلش ل٩