By Andrew P. Winrow, Michael A. Gatzoulis, G. Supramaniam
The 1st name within the new Paediatric Revision sequence. This ebook contains of a hundred distinct medical images with questions designed for the candidate project the MRCP(paed) half 2 exam. each one question/answer is followed by way of correct proof and information plus aiding references. the images and questions disguise many universal and strange medical situations visible in daily medical perform, and in addition within the exam. the images are new and feature now not been formerly released.
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Continue oxygen until saturations adequate If persistent respiratory distress, or HR < 100 move to neonatal unit If settles, return to mum, but observe carefully Maintain continuous CPR and insert UVC. 64 Give 10mL/kg saline. Consider O neg blood if there is pallor or maternal APH Do not persist with resuscitation beyond 20 minutes (discuss with senior doctor) Fig. 1 Newborn resuscitation. IPPV, intermittent positive pressure ventilation; CPR, cardiopulmonary resuscitation; UVC, umbilical venous catheter; APH, antepartum haemorrhage.
Was the mother well during pregnancy? g. steroids or used recreationally? • did she smoke or drink alcohol? • Was the pregnancy uneventful? For example, antepartum haemorrhage, febrile illness, premature rupture of membranes. • What was the estimated gestation? • What screening tests were performed? For example, antenatal USS, blood tests 9 amniocentesis. Delivery Any CTG changes or abnormal foetal scalp pH or cord gases? What was the mode of delivery and was any resuscitation needed? Postnatal course • Is the baby feeding well?
Art. : CD001069. pub3. 13 This page intentionally left blank Chapter 2 Neonatal emergencies Introduction 16 Delivery 17 Resuscitation of the newborn 20 Special cases 24 Discontinuing resuscitation 26 Neonatal hypoglycaemia 27 Physiological changes after birth 28 Postnatal assessment 30 The collapsed neonate 32 Neonatal cardiac conditions 34 Persistent pulmonary hypertension 36 Apnoea 37 Vomiting 39 Jaundice 41 Sepsis 43 Seizures 44 Further reading 46 15 16 CHAPTER 2 Neonatal emergencies Introduction A comprehensive neonatology vade-mecum is beyond the scope of this book.
100 Paediatric Picture Tests by Andrew P. Winrow, Michael A. Gatzoulis, G. Supramaniam