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Dangerous signs in newborns
- 1. DEPARTMENT OF PAEDIATRICS DANGEROUS SIGNS IN NEWBORN BY- SANDESH RATHOD-82 SAURABH SAWARDEKAR-92
- 2. DANGEROUS SIGNS IN THE NEWBORNS • 1.Unable to drink or breastfeed • 2.Lethargy or Unconscious • 3.Convulsions • 4.Grunting • 5.Severe Chest Indrawing • 6.Vomits Everything • 7.Cyanosis • 8.Capillary Refill Time
- 3. 1.UNABLE TO DRINK OR BREASTFEED • Ask – Is the child able to drink or breastfeed? A child who is not able to drink or is vomiting everything, will not be able to take any medication or stay well hydrated. Whatever the underlying condition he cannot be managed at home and it is likely he will quickly become sicker. Causes- CNS infection Acute gastroenteritis with severe dehydration Sepsis Throat abscess
- 5. 2.CHILD IS LETHARGIC OR UNCONSCIOUS Lethargic or listless babies appear to have little or no energy, are drowsy or sluggish, and may sleep longer than usual. They may be hard to wake for feedings and even when awake, are not alert or attentive to sounds and visual stimulation. Sometimes, this can develop slowly and a parent may not notice the gradual change. Lethargy may be a sign of infection or other condition, such as low blood glucose (sugar)
- 6. 2.CHILD IS LETHARGIC OR UNCONSCIOUS
- 7. 3.GRUNTING Newborn grunting is usually related to digestion. Your baby is simply getting used to mother’s milk or formula. They may have gas or pressure in their stomach that makes them feel uncomfortable, and they haven’t learned yet how to move things through. While most grunting is normal, if your baby is grunting with every breath, has a fever, or appears to be in distress, see your doctor. This grunting may be a sign of a more serious respiratory problem and needs immediate attention.
- 8. 3.GRUNTING
- 9. 4.SEVERE CHEST INDRAWING Chest indrawing is the inward movement of the lower chest wall when the child breathes in, and is a sign of respiratory distress. Chest indrawing does not refer to the inward movement of the soft tissue between the ribs Chest indrawing in children <2 years of age requires separate consideration, as chest indrawing in this age range is less specific for pneumonia, especially when it is observed alone without signs of severe respiratory distress (ie, grunting, nasal flaring, head nodding, tracheal tugging, intercostal retractions, severe tachypnea).
- 12. 5.VOMITS EVERYTHING • Causes- • 1.Lethargic or Unconscious • 2.Acute gastroenteritis with severe dehydration • 3.Intestinal obstruction • 4.Sepsis
- 14. 6.CONVULSIONS • The commonest causes of neonatal convulsions include: • hypoxic ischaemic encephalopathy (as a result of perinatal asphyxia) • central nervous system infection • hypoglycaemia • hypocalcaemia
- 15. 7.CYANOSIS • Central cyanosis — Central cyanosis is caused by reduced arterial oxygen saturation. Newborn infants normally have central cyanosis until up to 5 to 10 minutes after birth, as the oxygen saturation rises to 85 to 95 percent by 10 minutes of age. Persistent central cyanosis is always abnormal and should be evaluated and treated promptly. • Peripheral cyanosis-Normal at birth.Seen in extremities due to cold
- 18. 8.CAPILLARY REFILL TIME • Indicates tissue perfusion • Normal CRT<3sec • Prolonged CRT>3sec • Hypotension, Hypothermia,Acidosis
- 20. Thank you!