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NEWBORN SCREENING © DR.RAMESH RAMACHUNDRAN
Definition ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Newborn first exam : Apgar Score 0 1 2 1m 5m 10m 15m 20m Colour Blue or pale Body pink, extremities blue Complete pink Heart rate Absent Slow <100/min >100/min Respiratory effort Absent Slow irregular Good, crying Muscle tone Limp Some flexion Active motion Reflex irritability No response Grimace Cry/active withdrawals TOTAL
Physical examination ,[object Object],[object Object],[object Object],[object Object]
Measurements… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vital signs ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SKIN
SKIN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEAD :  General, Cuts, Bruises ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neck & Facial Features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Neck & Facial Features
Chest  ,[object Object],[object Object],[object Object],[object Object]
Heart :  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abdomen   ,[object Object],[object Object],[object Object],[object Object]
Umbilicus ,[object Object],[object Object],[object Object]
Genitalia  :  Any infant with ambiguos genitalia  should not  undergo gender assignment until a formal endocrinology evaluation  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Extremities   :  Examine the arms & legs paying close attention to the digits  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Trunk & Spine ,[object Object],[object Object],[object Object],[object Object]
Hips ,[object Object],[object Object],[object Object]
Nervous System  :  Observe for any abnormal movement/ excessive irritability ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Biochemical screening ,[object Object],[object Object],[object Object],[object Object]
G6PD deficiency ,[object Object],[object Object],[object Object]
Congenital Hypothyroidism ,[object Object],[object Object],[object Object]
Screening for ROP  :  is a disorder of the developing   retina of low birth weight preterm infants that potentially   leads to blindness. ,[object Object],[object Object],[object Object]
Hearing  Assesment ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hearing  Assesment
ECHOCARDIOGRAPHY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
JAUNDICE
PALLOR
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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Newborn examination