Neonatology/Newborn Issues

May 15, 2002 Issue
Double-Ligature: A Treatment for Pedunculated Umbilical Granulomas in Children [Article]

Umbilical granulomas are common inflammatory reactions to the resolving umbilical stump. The double-ligature technique is simple to perform and provides good cosmetic and functional results with only minor complications. The granuloma becomes necrotic and drops off within seven to 14 days. The doubl...

Apr 1, 2002 Issue
Infant Botulism [Article]

Although the worldwide incidence of infant botulism is rare, the majority of cases are diagnosed in the United States. An infant can acquire botulism by ingesting Clostridium botulinum spores, which are found in soil or honey products. The spores germinate into bacteria that colonize the bowel and s...

Mar 15, 2002 Issue
Neonatal Herpes Simplex Virus Infections [Article]

Neonatal herpes simplex virus infections can result in serious morbidity and mortality. Many of the infections result from asymptomatic cervical shedding of virus after a primary episode of genital HSV in the third trimester. Antibodies to HSV-2 have been detected in approximately 20 percent of preg...

Feb 15, 2002 Issue
Hyperbilirubinemia in the Term Newborn [Article]

Hyperbilirubinemia is one of the most common problems encountered in term newborns. Historically, management guidelines were derived from studies on bilirubin toxicity in infants with hemolytic disease. More recent recommendations support the use of less intensive therapy in healthy term newborns wi...

Jan 15, 2002 Issue
The Newborn Examination: Part II. Emergencies and Common Abnormalities Involving the Abdomen. Pelvis, Extremities, Genitalia, and Spine [Article]

Careful examination of the neonate at delivery can detect anomalies, birth injuries, and disorders that may compromise successful adaptation to extrauterine life. A newborn with one anatomic malformation should be evaluated for associated anomalies. If a newborn is found to have an abdominal wall de...

Jan 1, 2002 Issue
The Newborn Examination: Part I. Emergencies and Common Abnormalities Involving the Skin, Head, Neck, Chest, and Respiratory and Cardiovascular Systems [Article]

The routine newborn assessment should include an examination for size, macrocephaly or microcephaly, changes in skin color, signs of birth trauma, malformations, evidence of respiratory distress, level of arousal, posture, tone, presence of spontaneous movements, and symmetry of movements. A newborn...

Dec 15, 2001 Issue
Newborn Hearing Screening: Recommendations and Rationale [U.S. Preventive Services Task Force]

This statement summarizes the third U.S. Preventive Services Task Force (USPSTF) recommendations on newborn hearing screening and the supporting scientific evidence, and it updates the 1995 recommendations contained in the Guide to Clinical Preventive Services, second edition.

May 1, 2001 Issue
Failure to Thrive: Parental Neglect or Well-Meaning Ignorance? [Curbside Consultation]

A case scenario describing a six-month-old infant's weight loss. The physician commentary outlines the careful analysis required to reach an accurate diagnosis.

Apr 1, 2001 Issue
NIH Consensus Statement on Phenylketonuria [Practice Guidelines]

The National Institutes of Health (NIH) has released a statement on the screening and management of phenylketonuria (PKU). PKU, a form of hyperphenylalaninemia, is a rare metabolic disorder that is caused by a deficiency of the liver enzyme phenylalanine hydroxylase.

May 1, 2000 Issue
Bilious Vomiting in the Newborn: Rapid Diagnosis of Intestinal Obstruction [Article]

Bilious vomiting in newborns is an urgent condition that requires the immediate involvement of a team of pediatric surgeons and neonatologists for perioperative management. However, initial detection, evaluation and treatment are often performed by nurses, family physicians and general pediatricians...

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