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what can happen with bilirubin toxicity?
kernicterus.
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what is the difference between unconjugated (indirect) bilirubin and conjugated (indirect bilirubin)?
unconjugated - didn't go through the liver yet, can pass through onto tissues (like the brain)
conjugated - liver processed it. going to the duodenum to be excreted.
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how can jaundiced be detected early?
universal bilirubin screening.
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your baby has lost his moro reflex. is this a late or early sign of bilirubin toxicity?
early.
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your baby is hypotonic. is this a early or late sign of bilirubin toxicity?
early.
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your baby is hypertonic. is this a early or late sign of bilirubin toxicity?
late
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your baby has a fever. is this a early or late sign of bilirubin toxicity?
late
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your baby has a high-pitched cry. is this a early or late sign of bilirubin toxicity?
early
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what is the reason for macosomia in mothers with diabetes?
excess glucose in blood brings it to baby - excesssive growth.
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what are some congenital anomalies seen in IDM?
- Cardiomyopathy: disease affecting the
- structure and function of the heart
Coarctation: narrowing
- Anencephaly: absence of cerebrum
- and cerebellum
- Encephalocele: herniation of brain
- through opening in the cranium
- Myelomeningocele: protrusion of
- portion of the spinal cord through a defect in the vertebral column
- Hydrocephalus: condition caused by
- an abnormal amount of CSF in skull
- Caudal regression
- syndrome: weakness or
- deformities of the lower extremities: shortening or deformity of femurs
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this baby has macrosomia. what do you expect it to look like?
round face, chubby body, flushed face
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excessive blood glucose will delay surfactant synthesis. what problem will this cause for the baby?
delayed lung maturity. respiratory distress syndrome.
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what does the lecithin/sphingcmyelin ratio have to be to evident lung maturity?
3:1
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your baby looks cyanotic, has tachy, apnea, jitterness, what is going on and happened within 1-6 hours after birth.
hypoglycemic.
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your baby looks cyanotic, has tachy, apnea, jitterness, what is going on and happened within 24-36 hours after birth.
hypocalcemic/mag
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your baby has a late onset of sepsis. how long went by before it was found?
7-30 days.
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