Neoreviews
HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow E-Letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-Letters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Vachharajani, A.
Right arrow Articles by Hackett, B.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Vachharajani, A.
Right arrow Articles by Hackett, B.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

NeoReviews Vol.8 No.10 2007 e445
© 2007 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 female infant is born by cesarean section at 35 weeks estimated gestational age to a primigravida woman after a pregnancy complicated by hypertension, gestational diabetes mellitus, and bipolar disorder with a history of suicide attempts. The mother has been off medications for an undetermined amount of time. Her blood type is A+, and results of serologic tests, including group B Streptococcus status, are unremarkable. Delivery was complicated by spontaneous rupture of membranes at 12 hours prior to delivery and variable decelerations. The mother received butorphanol tartrate for pain control. Apgar scores are 8 and 9 at 1 and 5 minutes, respectively.

The infant's birthweight is 2,995 g (50th percentile), length is 48.5 cm (55th percentile), and head circumference is 33.5 cm (55th percentile). The remainder of the physical examination findings are unremarkable. A few hours after birth, the infant begins to have episodes of apnea and bradycardia. Naloxone administration results in no change, and antibiotic therapy is initiated. Results of a complete blood count, chest radiography, and cerebrospinal fluid examination are normal. Blood, cerebrospinal fluid, and urine cultures are negative. Electroencephalography and electrocardiography results are normal. A computed tomography scan of the head reveals small subarachnoid hemorrhages in the left middle cranial fossa. The infant is intubated and placed on mechanical ventilation with low settings when the apnea does not respond to continuous positive airway pressure and aminophylline. When the clinicians see the baby's father 24 hours later and obtain a brief family history, they . . . [Full Text of this Article]

Akshaya Vachharajani, MD

Department of Pediatrics, Washington University School of Medicine, St. Louis, Mo

Sarah Kuhlman, MD

CoxHealth, Springfield, Mo

Brian Hackett, MD

Department of Pediatrics, Washington University School of Medicine, St. Louis, Mo


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?




HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American Academy of Pediatrics.