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The Term Neonate, Lots missing - Coggle Diagram

- - - - Eyes
        
        Check both present and normal size
        
        Anopthalmia and micropthalmia
        
        Dysconjugate gaze
        
        Normal in newborn
        
        Dacryostenosis
        
        Sticky yellow non purulent secretions from nasolacrimal duct
        
        Due to blocked or non patent duct
        
        Conjunctivitis
        
        Purulent secretion need investigation and abx
        
        Swab for gonorrhoea and chlamydia
        
        Subconjunctival haemorrhage
        
        Fundoscopy red reflex
      - Ears
        
        Position
        
        Anatomy
        
        hearing
      - Nose
        
        Choanal atresia
        
        Assymmetry of nasal septum
    - - Cleft lip and palate
      - Micrognathia (Mandibular hypoplasia)
      - Retrognathia (Abnormal posterior position of mandible)
      - Macroglossia
      - Ankylossia 'tongue tie'
    - - Congenital Toricollis
      - Fibromatosis coli
      - Webbing of Neck
        
        Tuners and Noonans
      - Cystic hygroma
  - - - Colour
      - Tachypnoea
    - - Apex beat
      - Pulses - femoral and brachial
    - - Begnig murmurs common in first hours of life
    - - Live
      - Sacral oedeama
    - - Post ductal saturation
    - - Murmur
        
        Day one may be due to a closing ductus arteriosos but needs review
      - Weak femoral pulses
        
        Vessel abnormalities
        
        Valvular lesions
        
        Coarctation of aorta
        
        Aortic stenosis
      - Septal defects
      - Bounding pulse
        
        High cardiac output eg PDA
      - Harsh continous or holosystolic or diastolic murmur
  - - - Symmetry
      - Distention or scaphoid
      - Umbilical stump
      - Anus
        
        Position and patency
      - Diastasis recti abdominis
      - Inguinal hernia
    - - General palpation - quadrants
      - Liver can be 1-2 cm below right costal margin
      - Spleen
      - Kidneys
    - - Omphalocoele / Exomphalos
      - Gastroschisis
  - - - Hydrocele / hernia
      - Hypospadias / Epispadias
      - Presence of testes
    - - Bilateral undescended testes
      - Micropenis
      - Bifid scrotum
      - Clitoromegaly
      - Fused labia
      - Congenital adrenal hyperplasia
    - - Labia majora
      - Vaginal discharge
  - - - Psoture
      - Alertness
      - Cry
      - Jitteriness or seizures
    - - Fontanelles and suture lines
      - OFC
    - - Root
      - Suck
      - Grasp
      - ⭐Moro
      - Stepping
      - Stepping
      - Galant
      - Asymmetrical tonic neck
      - Babinski
  - - - Syndactylyl
      - Polydactyly
    - - Erbs palsy
      - Klumpke palsy
    - - Barlow Maneouvre
      - Ortolani procedure
      - Risks
        
        Breech
        
        First degree relative
        
        Foot deformaties
        
        To
- - - - Challenging
      - Large surface area to weight ratio, thinner skin, rapid heat loss
      - Use of radiant warmers, blankets, skin to skin
    - - Limited glycogen stores
      - High risk of hypoglycaemia, increaed in prem, GFM, and SGA
      - Feed early
- - - - feeding
      - Weight gain
      - Prolonged jaundice and umbilical stump
- - - - Poor placental transfer
        Insufficienct endoggenous production from intestinal bacteria flora prior to colonisation of neonatal colon
        Inadequate dietary intake amoung exlusively breast-fed infant
    - - Prevent Vit K Deficiency Bleeding VKDB
        AKA Haemorrhagic Disease of the Newborn
  - - - First 24h
      - Can be serious including intracranial haemorrhage
      - Mother on PO anticoag / anticonvulsants / TB treatment