2020 Skills&Review

[2020 Skills&Review @2020skillreview]

@DioscoLEA_alata Share with your intern pls 😬

[2020 Skills&Review @2020skillreview]

@chemmybreezy You’re the intern now 😉

[2020 Skills&Review @2020skillreview]

To all the med students: “It's when things seem worse that you mustn't quit”

[2020 Skills&Review @2020skillreview]

Rest well 2020! 💙 You all did great today despite everything 😉

[2020 Skills&Review @2020skillreview]

ERRATA: please switch the labels of “preterm” and “term” neonates on the top of the 2nd and 3rd column! Thank you @soupydays for pointing out the typo! :)

[2020 Skills&Review @2020skillreview]

@nellegagelonia

[2020 Skills&Review @2020skillreview]

Epidural hematoma:
- In the temporoparietal region, suspect middle meningeal artery involvement

- In the frontal region, suspect frontal anterior ethmoid artery invovlement

Epidural = LENTIFORM/BICONVEX SHAPE

[2020 Skills&Review @2020skillreview]

Level3: NICU
-3A [care of infants w/ BW >1000g & >28wks aog)
-3B [care of infants w/ extreme prematurity (28wks or less) & extremely low BW (1000g or less)]

[2020 Skills&Review @2020skillreview]

Levels of Neonatal Care:
Level1: Most basic level; can also care for near term infants (35-37wks aog that are stable)

Level2: Care for moderately ill infants (>32wks aog & BW >1500g)
-2A [cannot provide assisted ventilation]
-2B [can provide assisted ventilation]

(see below)

[2020 Skills&Review @2020skillreview]

Infant mortality rate
- deaths occurring from birth to 12 months of age per 1000 live births

Perinatal mortality rate
- death occuring from the 20th week of getational age to 28 days per 1000 live births

Neonatal mortality rate
- deaths < 28 days of life per 1000 live births

[2020 Skills&Review @2020skillreview]

Congenital diaphragmatic hernias:
Bochdalek - posterolateral in location (think Bochdalek at the Back)

Morgagni - anteromedial in location (think Morgagni at the Middle)

[2020 Skills&Review @2020skillreview]

4 distinct pathologic stages of bronchopulmonary dysplasia (BPD):
- acute lung injury
- exudative bronchiolitis
- proliferative bronchiolitis
- obliterative fibroproliferative bronchiolitis

[2020 Skills&Review @2020skillreview]

Lactogenesis I: starts mid pregnancy (16-20 wks AOG)

Lactogenesis II: begins at birth with delivery of plancenta

Lactogenesis III: establishment of mature milk

#BakaLalabas #SanaHindi #LordHelpUs

[2020 Skills&Review @2020skillreview]

The essentials of newborn screening! There are 6!
- Congenital hypothyroidism
- Congenital adrenal hyperplasia
- Galactosemia
- G6PD deficiency
- Maple syrup urine disease
- Phenylketonuria

Attempt at a mnemonic:
“Marie, Please, GG na CoCo”

[2020 Skills&Review @2020skillreview]

APGAR score: 8

active with a good cry - 2
completely pink - 2
HR of 98 - 1
arms/legs mostly extended - 1
cough/sneeze observed - 2

[2020 Skills&Review @2020skillreview]

The answer is necrotizing enterocolitis (NEC) with a % risk reduction of 77%!

SIDS - 73 %
Gatroenteritis - 64%
Type 2 DM - 40%

p.3 of 13 (Trans 12.12 Breastfeeding)

[2020 Skills&Review @2020skillreview]

The immunoglobulin that has the highest concentration in breastmilk is IgA! Recall that IgA usually is found protecting the mucosal barriers.

Since neonates have innately low or close to no IgA, they get their IgA from the breastmilk from their mama ☺️

[2020 Skills&Review @2020skillreview]

The answer is protein 😊

[2020 Skills&Review @2020skillreview]

HSV, based on the lecture, is the only congential infection that is transmitted during antepartum period, hence it is advised that mothers undergo caesarean delivery to avoid neonatal contact with infected lesions

[2020 Skills&Review @2020skillreview]

Hydrocephalus is not part of the triad of congenital rubella syndrome, but it is part of the triad of congenital toxoplasmosis!