Documenti di Didattica
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Dr Suresh Victor
Clinical Lecturer and Honorary Consultant
University of Manchester
Limitations
Relatively poor sensitivity and specificity for screening
Dates
Antenatal screening
Blood group & antibodies
Rubella & VDRL / TPHA
Hepatitis B & HIV (if recorded)
AFP / triple test (if done)
Amniocentesis (if done)
Microbiological results (if done)
Antenatal scans
Booking (dates)
Chorionicity if twins
Detailed mid-trimester scan (if done)
Maternal history
Growth parameters
Weight, OFC +/- length
Centiles
Systematic examination
Cardiovascular
Heart sounds
Pulses (FEMORALS)
Colour & perfusion
(Pulse oximetry?)
Respiratory
Respiratory pattern
Colour (Cyanosis)
Genitourinary
Masses & organomegaly
Umbilicus
Hernial orifices
Genitalia & anus
Mouth & palate
Neurological
Tone, movements & behaviour
Reflexes
Eyes (red reflexes)
General assessment
Maturity, measurements & growth
Dysmorphic features
Feeding
Level of arousal
Passage of meconium
Urinary stream (particularly male infant)
Any concerns?
Barlow
Ortolani