- Episode Written by : Kyla Freeman, Family Medicine PGY2
- Episode Reviewed by : Dr. Trent Smith, Paediatrician
- Hosts : Kyla Freeman, Patricia Massel, Caitlin Blewett
- Episode art : Aikansha Chawla
Today’s episode is a continuation of Episode 9, where we delve into the details of the newborn exam, reviewing both the subtle and the serious findings you may come across. In Part 2, we cover the chest and down. We will review upper-limb birth traumas, approach to murmurs, the differential for increased work of breathing, emergent management of abdominal wall defects, the approach to the infant who has failed to void and/or pass meconium, and so much more. Enjoy!
R
- Braga LH, Lorenzo AJ, Romao RLP. Canadian urological association-pediatric urologists of Canada (CUA-PUC) guideline for the diagnosis, management, and follow-up of cryptorchidism. Can Urol Assoc J. 2017;11(7):E251-60. https://www.cua.org/system/files/Guideline-Files/4585_cryptorchidism.pdf
- Canadian Pediatric Neurosurgery Study Group. Five things physicians and patients should question. Choosing Wisely website. Last updated 2018. https://choosingwiselycanada.org/wp-content/uploads/2017/05/Pediatric-neurosurgery.pdf
- Dominguez M. Neonatal Birth Injuries. https://step2.medbullets.com/pediatrics/121783/neonatal-birth-injuries. Updated December 29, 2021.
- Edgington J, Joughin E. Obstetric Brachial Plexopathy (Erb, Klumpke’s Palsy). https://www.orthobullets.com/pediatrics/4117/obstetric-brachial-plexopathy-erbs-klumpkes-palsy. Last updated 2019.
- Geggle RL. Common causes of cardiac murmurs in infants and children. Eds. Fulton DR. Uptodate. https://www.uptodate.com/contents/common-causes-of-cardiac-murmurs-in-infants-and-children?search=neonatal%20murmur§ionRank=1&usage_type=default&anchor=H3923974616&source=machineLearning&selectedTitle=1~150&display_rank=1#H3923974616. Last updated April 21, 2021.
- Gomella TL, Cunningham MD, Eyal FG, Tuttle DJ. Neonatology: Management, procedures, on-call problems, diseases, and drugs, 7e. Chapter 68: No urine output in 24 hours. 2013. McGraw-Hill Education LLC. US. https://accesspediatrics.mhmedical.com/content.aspx?bookid=1303§ionid=79662337
- Haba J. Approach to pediatric tachycardia. UBC learn pediatrics. https://learn.pediatrics.ubc.ca/body-systems/cardiology/approach-to-pediatric-tachycardia/. Last updated August 17, 2011.
- Hermanse CL, Lorah KN. Respiratory distress in the newborn. Am Fam Physician. 2007:76(7):987-994. https://www.aafp.org/afp/2007/1001/p987.html
- Hijazi ZM. Clinical manifestations and diagnosis of coarctation of the aorta. Eds. Fulton DR, Connolly HM. https://www.uptodate.com/contents/clinical-manifestations-and-diagnosis-of-coarctation-of-the-aorta?search=coarctation%20of%20aorta&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H9. Last updated March 22, 2021.
- Holmes N. Clinical presentation and diagnosis of posterior urethral valves. Ed. Baskin LS. Uptodate. https://www.uptodate.com/contents/clinical-presentation-and-diagnosis-of-posterior-urethral-valves?search=newborn%20obstructive%20uropathy§ionRank=1&usage_type=default&anchor=H20&source=machineLearning&selectedTitle=1~150&display_rank=1#H20. Last updated August 27, 2020
- Kotagal S. Neurologic examination of the newborn. Eds. Garcia-Prats JA, Nordli DR. Uptodate. https://www.uptodate.com/contents/neurologic-examination-of-the-newborn?search=newborn%20exam&topicRef=4984&source=see_link. Last updated May 21, 2020.
- Lemyre B, Jefferies AL, O’Flaherty P, Canadian Paediatric Society, Fetus and Newborn Committee. Facilitating discharge from hospital of the healthy term infant. Paediatr Child Health. 2018;23(8):515-522. https://cps.ca/documents/position/facilitating-discharge-from-hospital-of-the-healthy-term-infant
- Loening-Baucke V, Kimura K. Failure to pass meconium: Diagnosing neonatal intestinal obstruction. Am Fam Physician. 1999;60(7):2043-2050. https://www.aafp.org/afp/1999/1101/p2043.html
- Maternal Newborn Child & Youth Strategic Clinical Network. Alberta Pregnancy Pathways. https://www.albertahealthservices.ca/assets/about/scn/ahs-scn-mncy-pp-nb-pathway.pdf. September 2020.
- Mathes E, Howard RM. Vesicular, pustular, and bullous lesions in the newborn and infant. Eds. Levy ML, Edwards MS. UptoDate. https://www.uptodate.com/contents/vesicular-pustular-and-bullous-lesions-in-the-newborn-and-infant?search=newborn%20rashes&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1. Last updated December 3, 2018.
- McKee-Garrett, T. Assessment of the newborn infant. Editors Martin R, Duryea TK. https://www.uptodate.com/contents/assessment-of-the-newborn-infant?search=newborn%20head%20molding&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H866248920. Last updated October 7, 2021.
- Metry DW. Infantile hemangiomas: epidemiology, pathogenesis, clinical features, and complications. Ed. Levy ML. UptoDate. https://www.uptodate.com/contents/infantile-hemangiomas-epidemiology-pathogenesis-clinical-features-and-complications?search=hemangioma&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H7. Last updated November 20, 2020.
- Mulpuri K. Screening for developmental dysplasia of the hip: an evidence-based approach to practice. UBC CPD This Changed my Practice. 2016. https://thischangedmypractice.com/developmental-dysplasia-of-the-hip/.
- Nabi SM. Approach to cardiac murmurs. Ed. Bishop J. UBC learn pediatrics. https://learn.pediatrics.ubc.ca/body-systems/cardiology/approach-to-cardiac-murmurs/. Last updated February 9, 2011.
- Narvey M, Wong K, Fournier A, Fetus and Newborn Committee. Pulse oximetry screening in newborns to enhance detection of critical congenital heart disease. Paediatrics & Child Health. 2017;22(8):494-498. https://cps.ca/documents/position/pulse-oximetry-screening
- Ngan V. Lumbosacral dermal melanocytosis. DermNet NZ. https://dermnetnz.org/topics/lumbosacral-dermal-melanocytosis. Last updated 2003.
- Oakley A. Infantile haemangioma : definition and pathogenesis. DermNet NZ. https://dermnetnz.org/topics/infantile-haemangioma-definition-and-pathogenesis. Last updated January 2021 by Gangakedkar A.
- Palazzi DL, Brandt ML. Care of the umbilicus and management of umbilical disorders. Eds. Duryea TK, Martin R. UptoDate. https://www.uptodate.com/contents/care-of-the-umbilicus-and-management-of-umbilical-disorders?sectionName=Omphalitis&search=completing%20newborn%20vitals%20&topicRef=4984&anchor=H30&source=see_link#H30. Last updated August 27, 2021.
- Purvis D. Blueberry muffin syndrome. DermNet NZ. https://dermnetnz.org/topics/blueberry-muffin-syndrome. Last updated 2010.
- Ratan NM. Infantile bradycardia causes, diagnosis, symptoms, and treatment. NEWS medical life sciences. https://www.news-medical.net/health/Infantile-Bradycardia-Causes-Diagnosis-Symptoms-and-Treatment.aspx#2. Last updates August 15, 2019.
- Shah V, Coroneos CJ, Ng E, Canadian Paediatric Society, Fetus and Newborn Committee. The evaluation and management of neonatal brachial plexus palsy. Pardiatr Child Health. 2021;26(8):493-497.https://cps.ca/en/documents/position/neonatal-brachial-plexus-palsy
- Sood MR. Constipation in infants and children: Evaluation. Ed. Li BUK. Uptodate. https://www.uptodate.com/contents/constipation-in-infants-and-children-evaluation?search=delayed%20passage%20of%20meconium&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1. Last updated March 5, 2021.
- Stephenson CD, Lockwood CJ, MacKenzie AP. Gastroschisis. Eds. Wilkins-Haug L, Levine D. UptoDate. https://www.uptodate.com/contents/gastroschisis?search=omphalocele%20gastroschisis&source=search_result&selectedTitle=1~95&usage_type=default&display_rank=1#H11. Last updated August 18, 2021.
- Wu W, Oakley A. Naevus simplex. DermNet NZ. https://dermnetnz.org/topics/naevus-simplex. Last updated 2019.