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Congenital Conditions - Coggle Diagram

- - - - Prenatal surgery at 26 weeks gestation
      - Myelomeningocele management
    - - To prevent rapid increase of ICP
    - - Information about the condition
      - Allow them to voice their emotions
      - Informed consent
      - Support
      - Health educate
        
        Importance of folic acid intake
        
        Prenatal checkup
- - - - Antiepileptics
      - Bipolar medication
  - - - Sign
        
        Birthmark in the lower back
        
        No need for treatment
      - Xray for diagnosis
        
        Lower backbone maformation
    - - Meningomyelocele
        
        A serious malformation
        
        Ten times more common
        
        Spinal cord not in a sac
        
        Motor and sensory loss
        
        Urine and fecal incontinence
        
        Mental retardation
      - Meningocele
        
        Protrusion of meninges and CSF
        
        Often covered with skin
        
        Lower back
        
        Motor function may be normal
        
        Surgical management
        
        Soon after birth
        
        Prognosis good
  - - - X-ray
      - CT scan
      - Bladder function studies
      - MRI
      - Ultra sound
    - - Spinal surgery
        
        Prenatal surgery
        
        Before 26 weeks gestation
        
        Caesarrian section
        
        Exposure and opening of the uterus
        
        Repair of the spinal cord
      - Spinal fusion
      - Colostomy
      - Suprapubic cystostomy
    - - Walker
      - Crutches
      - Braces
      - Crutches
    - - Routine newborn examination
      - Health educate the mother and family about the disease
      - Provide knowledge about the disease
      - Infection prevention
        
        Vital signs monitoring
        
        Temperature
        
        Pulse
        
        Respiration
        
        Blood pressure
        
        Do bloods for micro,culture and sensitivity(MC&S)
        
        Give antibiotics as per culture results
        
        Give prophylactic antibiotics as per doctor's prescription
      - Proper positioning
        
        Abduct hips
        
        Fit neutral position
        
        Feet massage
        
        Pad the bone prominences
        
        Prone position
      - Encourage exprssion of feelings and emotions
      - Encourage family to cuddle and touch the infant
      - Demonstrate how to handle the infant
  - - - A part of the neral tube open
        
        Teratogenic processes
  - - - Dimple,hair