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ILOS1.Why !2.Job Description. 3.How to deal with your team.4.Component of NICU 5.Road map for most common cases.6.What do you need to learn to be
qualified. 7.History taking.
Money :D :D
Doctors are not poor !
بني على كتبنا ذلك أجل من «بغير نفسا قتل من أنه إسرائيلفكأنما األرض في فساد أو نفس
أحياها ومن جميعا الناس قتل « جميعا الناس أحيا فكأنما
!.. الجـــهل
!!.. والتقصــير
There is No Precious baby, All Babies are precious .
Job Description
You are a neonatologist resident !
1- Your consultant eyes !
2- Follow the instruction.
3- Emergency situations.
1- Your consultant eyes !
Good, Full detailed description of the cases !
Read More And More
2- Follow the
instruction.
3- Emergency situations.
1. Medical Emergencies according to each case:
- Arrest
- Cyanosis
- Convulsion
- Hemorrhage … etc.
2. New cases admission.
الشيتات ! • كتابة
األهل .• مقابلة
التقارير .• كتابة
2- Communication with your team
1- Nurses
2- Doctors
3- Consultant
Relatives
Components Of NICU
Incubator
Ventilator CPAP
األكسجين .1. شبكة
المخارج .2.
.3Suction !
Most Common Cases
I. Respiratory distress. II.Neonatal Jaundice.III.Neonatal Sepsis IV.Pre-term.V.Hemorrhagic diseases.VI.CNS problems.VII.Pre and post -operative cases.VIII. .. Etc.
• Grades?• X.Ray?• TTT?• Ventilator Setting?
RDS
• How to diagnose?• TTT?TTN
• Vigorous or not?• Resuscitation. • Discharge or not?• Ventilator setting?
Meconium Aspiration
• Grades?• X.ray?• TTT?
Congenital Pneumonia
1- Respiratory Distress (RD)
حالة D: أكسجين
- Pulmonary Hypertension
- Pneumothorax
1.Downs’ score
2.Oxygen toxicity
3.Chronic lung ( Bronco-pulmonary dysplasia )
2- Neonatal Jaundice (NJ)
I. DD?
II. Specific cause?
III.General condition?
IV.Levels of TTT?
V. Pathophysiology?
3- Neonatal Convulsions.
4- Hemorrhagic disease of the newborn.
5- Necrotizing enterocolitis (NEC)
Neonatal Sepsis
Early signs of Sepsis
ABs Regimen
Infection control
CRP
Complementary Topics
Fluid Balance. Drugs.Feeding.Normal values of: - Blood pressure - Blood sugar - Temperature Infection control.
Complementary Topics
Interpretation of CBC
Interpretation of ABG
Reading X-Ray
Procedures
1.Endotracheal tube (ET).
2.Chest butterfly.
3.Chest cannula.
4.Umbilical catheter.
5.Chest tube.
6.Blood Exchange.
History taking
1.Name: Mother name ...: مدام ابن
مدام ... :بنتMedico-legal !
2.Sex:
Male, Female or ambiguous genitalia!Medico-legal !
3. Sibling:
- History of other siblings. - IUFD - Abortions - RH,ABO incompatibility - Metabolic, genetic diseases - Precious baby or not?- Similar condition - Mother experience !
G…… P….. + ….
4. Consanguinity :
- For congenital abnormalities. - Degree of consanguinity.
5. Mode of delivery? NVD or CS
6. Full term, NT or preterm.
- Calculation of the gestational age.الـ - الشهر لنهاية وصلت يبقي 8اللي أسبوع 36كده! كاملين - Ballard Maturational Assessment
7. Age of the Baby: DOB: امتي مولود TOB: ؟ كام الساعة Jaundice
8. Maternal risk factors: ..
9. Parent history: - Name: - Age: - Blood group:
5. Mode of delivery? NVD or CS
NVD CS
• Obstructed labor
• Traumatic Labor
• Less liable for RD
• Cause ?
• Anesthesia
• More Liable for RDS
1- Maternal age: less than 18 years or more than 35 years old2- Socio-demographic factors:•Low educational status•Cigarette smoking•Drug addiction•Poor nutrition•Poverty3- Obstetric factors:• Previous cesarean section• Multiple pregnancies• Prior infertility•Blood transfusion
8. Maternal risk factors:
4- Medical conditions:• Diabetes mellitus• Hypertension• Pregnancy induced hypertension (PIH)• Pre-eclamsia• Congenital heart disease• Auto-immune diseases• Infections
8. Maternal risk factors:
Referral Reports
Thanks
Hope Happiness finds you every where !
