Cheyne-stockes rhythm

Premature infant have irregular periodic respiration

The breathing of new born is mainly diaphragmatic

Weak cry or grunting during expiration

May have serious cardiopulmonary disease or sepsis

Flaring of alae nasi and intercostal muscle retraction common sign of pulmonary pathology

Normally breathing sound= broncho-vesicular

Closing ductus arteriosus

Detect by transient murmur

In congeintal heart disease may murmur delay to appear

Pulse
Normally
In relaxed sleep 90
In activity 180
Average 110-140 beat/min at rest

Coarctation of aorta

Lower limb pulse is less than upper limb

Patent ductus arteriosus

Upper limb pulse less than lower limb pulse

هذني الفوك مهمات mcq

•Liver usually palpable (2cm)
•tip of spleen may be felt
• git is gasless at birth
شوكت تظهر لعد؟
بعد 24 ساعة من ولادته
ولهذا اسوي xray ورة 24 ساعة من ولادته!mcq

Cystic masses

1-hydronephrosis
2-multicystic dysplastic kidney
3-adrenal haemorrhage
4-intestinal duplication
5-ovarian cyst
6-omental cyst
7-pancreatic cyst

Solid masses

1-neuroblastoma
2-congenital nephroma
3-hepatoblastoma
4-teratoma

الفوك ثنينهم امسكيو🚨

شغلات جراحة ميحتاج اكتبها تبدي من سلايد 8 الى11

The hip joint of all infant should be examined to rule out?
Congenital dislocation (DDH)

شلون نحط رأس الطفل اول ميحي للدنيا؟
Downward
ليش؟
To clear mouth,nose,pharynx
From?
Fluid,mucus,blood,amniotic derbis
شلون؟
By gravity or gentle suction with bulb syringe or soft catheter
ممنوع امسحة بوصلة او شاش ليش؟
Lead to abrasions and development of thrush ulcers and maxillary osteomyelitis (infection)

ملاحظة:
Stomach of inafant that delivered by C/S have more fluid than vaginal delivery
بحيث يحتاج مرات الطفل نسحب الماء حتى نمنع aspiration

Apgar score
كلما زاد السكور كلما احسن👍🏻
وهو دلالة على انه يشوفون يتدخل الطبيب للطفل لولا immediately

🔺apgar score not design to predict neurological outcome
بحيث اغلب المرضى عدهم السكور طبيعي بس عدهم cerberal palsy

🔺 if low apgar score at 5mint and low umbilical artery blood ph (acidosis)
ممكن يسبب الى وفاة الطفل

🔺السكور ناصي ممكن بسبب دوة اخذته الام اثناء الحمل

مهم mcq