Geoffrey Chamberlain, Margery Morgan's ABC First Year PDF

By Geoffrey Chamberlain, Margery Morgan

ISBN-10: 0727916920

ISBN-13: 9780727916921

(BMJ publication) textual content has been up to date all through and redesigned within the present ABC layout. Covers association of care, common antenatal administration, fetal wellness, paintings in being pregnant, raised blood strain, preterm hard work, a number of being pregnant, audit of beginning, and extra. prior version: c1993. Softcover.

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Extra resources for ABC First Year

Sample text

These cause prolonged jaundice lasting more than 10 days. 2 Breast feeding. Onset Within 24 hours of birth After 24 hours Usually after fourth day Jaundice in the newborn Glucose-6-phosphate dehydrogenase deficiency is another cause of prolonged jaundice, but it can also produce a clinical picture similar to blood group incompatibility. In hypothyroidism physiological jaundice is prolonged, the plasma thyroxine (T4) concentration is reduced, and the thyroid stimulating hormone (TSH) concentration is increased.

Intersex is a less common cause of ambiguity of the external genitalia and a paediatrician should be consulted without delay. An accurate diagnosis is an emotional and social emergency. The parents should be advised that the baby should not be named until the results of chromosome studies are available. Small hydrocoeles usually disappear spontaneously during the first month but an associated inguinal hernia should be sought. Poor development of the scrotum suggests that an undescended testis is present.

Despite phototherapy, an exchange transfusion may still be needed, but the critical level varies with the unit and the gestational age of the infant. Exchange transfusion should be considered if the plasma bilirubin level exceeds 450 ␮mol/l in a full term infant and 300 ␮mol/l in a preterm infant. Some units start treatment at lower levels of bilirubin in sick infants. Prolonged jaundice If jaundice persists longer than 14 days in a full term infant, blood should be taken for plasma thyroxine and TSH estimations and a specimen of urine collected to measure reducing substances and glucose.

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ABC First Year by Geoffrey Chamberlain, Margery Morgan

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