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Conjunctival hemorrhage results from? How long does it last?
- prolonged delivery
- a few weeks
What is sebacous hyperplasia? What causes it?
- raised yellowish bumps on newborn's nose
- maternal androgens still circulating
What is milia? How long does it last?
- white patches on newborn's face
- about a week
- Can cross suture lines
- predominately is on one side
- pitting edema
Cephalhematoma ________ cross suture lines
does not cross suture lines
Moro reflex disappears by ________.
Stepping reflex disappears by ________.
Fencing reflex disappears by ________. What is this?
- more than 6 months
- turn head to side, one arm goes up and other out to side
Plantar reflex disappears by ________.
more than 8 months
CN ______ is the suck and root reflex.
CN ______ is the symmetrical face when crying.
What CN are you testing for with this: shine light in baby's eyes and watch the reaction; blink reflex; steady gaze (no wandering).
- 2, 3, 4, 6
- (optic, oculomotor, trochlear, abducens)
CN ______ is tested when you clap loud and watch for a blink
What happens during the first newborn screen?
- Edinburgh pp depression scale for mom;
- HepB for baby
Categories of Denver test
- fine motor/adaptive
- gross motor
When are the well baby visits?
- a few days old
- 2 weeks
- 2 months
- 4 months
- 6 months
- 9 months
- 12 months
- 15 months
- 18 months
- 24 months
- 36 months
What can cause leukocytosis?
- inflammation or infection
- stress (phys,emotional, exercise, heat or cold)
- epi, steroids
- thyroid storm, uremia, coma
- leukemia, lymphoma
Leukocytosis is a WBC count of what?
Leukopenia s a WBC count of what?
What can cause Leukopenia?
- viral or extreme bacterial infection
- BM disorders
- metastatic disease
What is a left shift and what does it indicate?
- increase in neutrophils and bands
- acute bacterial infection
WHat is a shift to the right and what does it mean?
- increase in lymphocytes
- viral response to infection
What do neutrophils combat?
pyogenic (bacterial) infections
What do Eosinophils combat?
- allergic disorders
- parasitic infections
What do Basophils combat?
- parasitic infections
- some allergic
What do Lymphocytes combat?
What do Monocytes combat?
severe infections (by phagocytosis)
How to calculate absolute WBC count?
% specific cell x total WBC
Five primary causes of Eosinophilia.
- Collagen diseases
Presence of bands or metas.
- bands = BM under stress
- metas = significant BM stress (maybe hematologic CA)
Viral diseases that can cause lymphocytosis.
- measles, mumps, varicella
Bacterial diseases that can cause lymphocytosis.
Bacterial count > _______ = urine infection.
Nitrites in UA = presence of what?
gram (-) rods
Optimal timing for blood culture.
1 hour before temp spikes
Venipuncture is preferable for blood culture (two samples). The second sample should be taken when and where?
10 min later from a different site
What should you do b4 giving an antipyretic?
sample the blood because you don't want to give abx to mask spike in temp
What should you think about if a pt has increase BUN and normal Cr?
What is azotemia?
- elevated BUN
- (increased nitrogenous waste in blood)
What is Uremia?
- toxic condition;
- kidney unable to excrete urea or other substances
How do you calculate the ABSOLUTE neutrophil count?
% neutrophils + % bands x Total WBC
BM suppression can be secondary to what?
What lab result would indicate BM suppression?
presence of bands or metas