Friday, February 12, 2016
Neonatal Hypoglycemia
Neonatal Hypoglycemia
Neonatal hypoglycemia, defined as a plasma glucose level of less than 30
mg/dL (1.65 mmol/L) in the first 24 hours of life and less than 45
mg/dL (2.5 mmol/L) thereafter, is the most common metabolic problem in
newborns. Major long-term sequelae include neurologic damage resulting
in mental retardation, recurrent seizure activity, developmental delay,
and personality disorders. Some evidence suggests that severe
hypoglycemia may impair cardiovascular function.
to continue.........
Thursday, February 11, 2016
Neonatal Jaundice
Neonatal Jaundice
Jaundice is the most common condition that requires medical attention in newborns. The yellow coloration of the skin and sclera in newborns with jaundice is the result of accumulation of unconjugated bilirubin. In most infants, unconjugated hyperbilirubinemia reflects a normal transitional phenomenon. However, in some infants, serum bilirubin levels may rise excessively, which can be cause for concern because unconjugated bilirubin is neurotoxic and can cause death in newborns and lifelong neurologic sequelae in infants who survive (kernicterus). For these reasons, the presence of neonatal jaundice frequently results in diagnostic evaluation.
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