Newborn

Abnormal newborn screen
Birth Trauma
Congenital infections
Cyanosis
Depressed newborn
Hypoglycemia
Hypothermia
Hypotonia / floppy newborn
Large for gestational age
Neonatal abstinence syndrome
Newborn physical exam (normal, abnormal)
Prematurity
Respiratory distress
Sepsis
Small for gestational age
Trisomy 21
Vitamin K deficiency

  • Describe basic embryology and fetal development and how alternations may lead to congenital abnormalities
  • List factors affecting fetal growth
  • Describe normal and abnormal patterns of fetal growth
  • Define pre-term, term, and post-term gestation
  • Identify prenatal risk factors for adverse outcomes in a newborn
  • Describe the processes of transition and adaptation from intrauterine to extrauterine life
  • Define asphyxia and describe its biochemical and physiological effects on the newborn at birth
  • Describe glucose homeostasis in the newborn
  • Describe the extrinsic and intrinsic factors that predispose newborns to infection

Overview & Foundational Knowledge

Ramachandrappa A & Jain L. Health Issues of the Late Preterm Infant. Pediatric Clinics of North America 2009; 56(3): 565-577.

Quite detailed but a good, comprehensive overview of late preterm health issues and their management.

Hermansen, C. and Lorah, K. Respiratory Distress in the Newborn. American Family Physician 2007; 76(7).

http://www.aafp.org/afp/2007/1001/p987.pdf

Covers diagnosis and management of common causes of respiratory distress in the newborn (transient tachypnea of the newborn, respiratory distress syndrome, meconium aspiration) with good visuals (X-rays). Gives a good differential of less common causes.

Polin, RA. Management of Neonates with Suspected or Proven early-onset Bacterial Sepsis. Pediatrics 2012; 129(5): 1006-15. Epub 2012 April 30.

A good overview. Discusses infants at risk for early-onset sepsis, including evaluation, treatment, prevention, as well as clinical challenges.

Peredo, D. The floppy infant: Evaluation of Hypotonia. Pediatrics in Review 2009; 30: e66.

Hypotonia overview. Good visuals, nice tables.

McGowan JE. Neonatal Hypoglycemia. Pediatrics in Review 1999; 20: e6-14.

Hypoglycemia overview. Includes foundational knowledge including glucose homeostasis. Covers transient and prolonged hypoglycemia. More detailed than required.

University of Texas: Medical Genetics and Dysmorphology Website

http://www.utmb.edu/pedi_ed/CORE/MedicalGenetics/page_06.htm

Covers a range of topics related to medical genetics and dysmorphology and includes quiz questions.

Bull MJ and the Committee on Genetics; AAP Clinical Report-Health Supervision for Children with Down Syndrome.

Very detailed but the student can focus on syndrome description and on table 1- major comorbidities

Del Pizzo J. Focus on Diagnosis: Congenital Infections (TORCH); Pediatrics in Review 2011; 32(12) : 537-542.

A good, simple overview of congenital infections. Covers route of infection, clinical manifestations, diagnosis and treatment, however does not discuss when to consider congenital infections in a neonate.

Goldberg MJ. Early Detection of Developmental Hip Dysplasia: Synopsis of the AAP Clinical Practice Guideline. Pediatrics in Review 2001; 22(4): 131-134.

Brief guidelines regarding management of abnormal hip examination. No pictures.

Anhalt H, Neely EK & Hintz RL. Ambiguous genitalia. Pediatrics in Review 1996; 17(6): 213-220.

Foundational knowledge, good tables, fairly detailed.

Docimo SG, Silver RI & Cromie W; The Undescended Testicle: Diagnosis and Management.

Nice overview. Covers management as well as consequences of untreated undescended testes.

American Family Physician 2000; 62(9): 2037-2044.

http://www.aafp.org/afp/2000/1101/p2037.html

Nice overview. Covers management as well as consequences of untreated undescended testes.

Routine administration of vitamin K to newborns.

http://www.cps.ca/documents/position/administration-vitamin-K-newborns

http://www.cps.ca/fr/documents/position/administration-vitamine-K-nouveau-nes

Canadian Paediatric Society Position Statement (1997, 2013)

Clinical Resources

Screening guidelines for newborns at risk for low blood glucose

http://www.cps.ca/en/documents/position/newborns-low-blood-glucose

http://www.cps.ca/fr/documents/position/hypoglycemie-nouveau-nes

Canadian Paediatric Society Position Statement (2004, 2013)

Clinical Presentations