By Cath Harrison, Alan Gibson
A problem-based ebook on neonatology that covers typically encountered medical situations and discusses every one in a customary question-based structure overlaying research effects (e.g. blood gases, X-rays, head scans, electrolytes) with particular solutions. the point of interest is on universal medical difficulties, defined as they're more likely to current themselves to the green trainee medical professional. review and administration is obviously coated, as are antenatal issues and counselling
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Extra resources for Practical Neonatology : for MRCPCH and Beyond
Fetal echocardiography may be performed as hypertrophic changes occur in utero in a small proportion of affected individuals. Stillbirth has been reported as a direct consequence of this condition. c. Postnatal echocardiography can be performed but, as with antenatal scans, may be normal in an individual who has the defect. Although the peak occurrence is in the third decade it may present at any age. 21 d. If symptomatic in infancy the outcome is usually worse than if outcome Practical Neonatology for the MRCPCH and Beyond is at a later age.
A. β-blockade is possible and the baby may be born with a bradycardia, low 30. Azathioprine. a. Azathioprine does not appear to be teratogenic in humans although it is in rabbits. Immunosuppression of the newborn has been documented in isolated case reports as has intra-uterine growth retardation. The latter observation is difﬁcult to interpret as azathioprine is likely to be used when mother has a chronic illness which may well have an effect on the developing fetus. b. There is evidence that 6-mercaptopurine (the metabolite of azathioprine) can be measured in breast milk.
Absence of a stomach bubble on antenatal scans can be associated with a left-sided diaphragmatic hernia, tracheo-oesophageal atresia or ﬁstula or oesophageal atresia. Occasionally it can be due to neurological abnormalities that prevent swallowing. These conditions present with polyhydramnios. It can however be a normal variant. 37 b. Careful examination after birth and observe baby in the postnatal period. Practical Neonatology for the MRCPCH and Beyond If any concerns pass a nasogastric tube.
Practical Neonatology : for MRCPCH and Beyond by Cath Harrison, Alan Gibson