Genetics-PKU
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Autosomal recessive inherited disorders occur when both parents have the
gene!
Acute epiglottis
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, · Therapeutic management focuses on airway maintenance & support.
IV ABX Thx is necessary.
The child will be managed in the ICU.
Newborn bowel
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· Intussusception; currant-jelly stools, gross blood, or hemoccult-positive
stools
Vaginal discharge-pregnancy
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Most women experience an increase in a whitish vaginal discharge, called
leukorrhea, during pregnancy.
· This is normal except when it is accompanied by itching & irritation,
possibly suggesting Candida albicans, a monilial vaginitis
Prolapsed cord-position
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, Changing the woman's position to a modified Sims, Trendelenburg, or
knee-chest position also helps relieve cord pressure.
Scoliosis
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Note mobility of the vertebral column by having the child bend forward &
side to side.
Flex the neck & move it from side to side. No resistance or pain should
occur.
Inspect the back for discoloration, tufts of hair, or dimples.
A normal pilonidal dimple is sometimes seen at the base of the spine, but
there should be no tuft of hair or nevi along the spine.
Document & report abnormal findings
HIV Positive Delivery
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Breastfeeding is a major contributing factor for mother-to-child
transmission, & the infected mother must be informed about this
Drug therapy is the mainstay of Tx for pregnant women infected w/ HIV.
The standard Tx is oral antiretroviral drugs given daily until giving birth, IV
administration during labor, & oral zidovudine (AZT) for the newborn within
6 to 12 hrs of birth
Give this one a try later!
Autosomal recessive inherited disorders occur when both parents have the
gene!
Acute epiglottis
Give this one a try later!
, · Therapeutic management focuses on airway maintenance & support.
IV ABX Thx is necessary.
The child will be managed in the ICU.
Newborn bowel
Give this one a try later!
· Intussusception; currant-jelly stools, gross blood, or hemoccult-positive
stools
Vaginal discharge-pregnancy
Give this one a try later!
Most women experience an increase in a whitish vaginal discharge, called
leukorrhea, during pregnancy.
· This is normal except when it is accompanied by itching & irritation,
possibly suggesting Candida albicans, a monilial vaginitis
Prolapsed cord-position
Give this one a try later!
, Changing the woman's position to a modified Sims, Trendelenburg, or
knee-chest position also helps relieve cord pressure.
Scoliosis
Give this one a try later!
Note mobility of the vertebral column by having the child bend forward &
side to side.
Flex the neck & move it from side to side. No resistance or pain should
occur.
Inspect the back for discoloration, tufts of hair, or dimples.
A normal pilonidal dimple is sometimes seen at the base of the spine, but
there should be no tuft of hair or nevi along the spine.
Document & report abnormal findings
HIV Positive Delivery
Give this one a try later!
Breastfeeding is a major contributing factor for mother-to-child
transmission, & the infected mother must be informed about this
Drug therapy is the mainstay of Tx for pregnant women infected w/ HIV.
The standard Tx is oral antiretroviral drugs given daily until giving birth, IV
administration during labor, & oral zidovudine (AZT) for the newborn within
6 to 12 hrs of birth
