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NeoReviews Vol.5 No.10 2004 e457
© 2004 American Academy of Pediatrics

Index of Suspicion in the Nursery

The first 20% of the full text of this article appears below.


    Case Presentation
 
A 3-day-old male infant in the nursery presents with repetitive jerking of his arms and twitching of the chin. The baby was born at term after an uneventful pregnancy. Delivery had been complicated by shoulder dystocia, with a low first Apgar score (4 at 1 min), but the score was 8 at 5 minutes.

On physical examination just after birth, no abnormalities were detected except for some jitteriness, and the baby was kept for further observation. A complete blood count and measurement of serum glucose and ionized calcium showed normal values. Ultrasonography of the brain revealed no abnormalities.

Now the baby lies in his mother’s arms, appearing asleep, while the continuous jerking movements lead to a mild oxygen desaturation (85% on the oxygen saturation monitor). The mother states that over . . . [Full Text of this Article]

Jaap Karsten, MD

TalmaSionsberg General Hospital, Dokkum, The Netherlands


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