First Month

• Examination

• Behaviour

• Nutrition

• Congenital abnormalities

• Screening tests

• Respiratory Distress

  • Surfactant deficiency

  • Pneumonia

  • Delayed clearance of lung fluid

  • Pneumothorax

  • Meconium aspiration

  • Milk aspiration

  • Congenital abnormalities

  • Congenital heart disease

  • Acidosis

  • Gross abdominal distension

• Apnoea

• Cyanosis

  • truncus arteriosus

  • total anomalous pulmonary venous drainage

  • transposition of the great vessels

  • tricuspid atresia

  • shunts + pulmonary hypertension

    • hyaline membrane disease

    • bacterial pneumonia

    • meconium aspiration

    • birth asphyxia

• Plethora

  • intrauterine oxygen starvation

  • congenital cyanotic heart disease

  • placento-fetal / feto-fetal transfusion

  • excess growth factors - diabetic mother

• Pallor

  • blood loss

  • haemolytic

  • bone marrow disorder

• Shock

  • acute hypovolaemia

  • septicaemia

  • cardiogenic

  • salt and water loss

• Acidosis

• Thermal Instability

• Pathological Jaundice

  • early

    • physiological + dehydration

    • infection

    • haemolysis

    • excessive bruising

  • prolonged

    • liver disease

    • infection

    • hypothyroidism

    • galactosaemia

    • biliary atresia

    • breast milk jaundice

• Bruising / Bleeding

  • thrombocytopenia

    • maternal autoimmune thrombocytopenia

    • isoimmune thrombocytopenia

    • congenital infection

    • DIC

    • Congenital deficiency

  • Coagulation

    • haemorrhagic disease of newborn

    • congenital clotting deficiency

    • haemophilia

    • DIC

    • drugs

    • extensive haemangiomata

• Vomiting

• Diarrhoea

  • phototherapy

  • gastrointestinal infection

  • infection elsewhere

  • necrotising enterocolitis

  • congenital disorders

  • overfeeding

  • high-osmolality feeds

• Constipation

• Abdominal distension

  • ileus

    • electrolyte imbalance

    • sepsis

  • necrotising enterocolitis

  • Hirschsprung enterocolitis

• Floppy baby / Hypotonia

  • central nervous system damage / depression

    • asphyxia

    • haemorrhage

    • infection

    • metabolic disturbance

    • drugs

  • peripheral nervous system disease

    • spinal cord damage at birth

    • anterior horn cell disease

    • transient myasthenia gravis

  • muscular disease

    • inherited myopathy

    • congenital muscular dystrophy

    • generalised metabolic disorder

    • mitochondrial cytopathy

• Persistent Crying

• Jittery / Seizures

  • Jittery

    • normal

    • hypocalcaemia

    • hypomagnesaemia

    • hypoglycaemia

    • inborn errors of metabolism

    • infection

    • bleeding

    • metabolic

    • asphyxia

    • polycythaemia

    • hypotension

    • hypertension

    • excitatory drugs

    • drug withdrawal

    • intra-abdominal pathology

    • post-operative

  • Seizures

    • hypoxic ischaemic injury

    • birth injury

    • biochemical

    • drug withdrawal

    • inborn errors of metabolism

    • infective

    • ciculatory

    • CNS malformation

      • Sturge-Weber

      • tuberose sclerosis

• Superficial Infection

• Discharging Eye

  • gonococcus

  • Chlamydia

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