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Examination of Newborn Notes

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Examination of the Newborn - Organized Notes

A. Physical Examination (Head-to-Toe)

1. Head - Diff: Caput Succedaneum vs Cephalhaematoma

Feature	Caput Succedaneum	Cephalhaematoma
Location	Above periosteum	Below periosteum
Crosses suture lines?	Yes	No
Onset	At birth	Hours after birth
Resolution	Days	Weeks-months
Jaundice risk	Low	Yes (blood reabsorption)

2. Eye - Epicanthic fold; Color

3. Ear - Position, shape, pre-auricular tags

4. Neck - Swelling: tumor / thyroglossal cyst; Cystic hygroma (POST - surgical); Webbing of neck (Turner syndrome)

5. Chest - Symmetry, IC recession; Heart: 110-170 bpm; Lungs: RR >60 = tachypnoea

6. Abdomen - Umbilical swelling, umbilical hernia, liver enlargement, gastroschisis (abdominal wall defect)

7. Genitalia - Male: scrotum, penis; Female: labia minora, labia majora (enlarged in adrenal hyperplasia)

8. Fingers, Limbs, Toes & Bones - Count digits; Talipes equinovarus (club foot)

B. POST Examination Findings

Head: Hydrocephalus (surgery/shunt); Anencephalus (TOP)
Neck: Cystic hygroma; Webbing of neck
Back: Spina bifida open (cord visualized) / closed (skin-covered, no TOP needed)

C. After Examination

Advise mother to breastfeed within 30 minutes
Reflexes: Rooting, Sucking, Grasping, Moro

D. Assess Breastfeeding

Urine output >5 times/24 hrs = normal
Dehydration - anterior fontanelle depressed
Abdomen - liver enlarged/normal; bulging hypochondrium (IUGR); scaphoid abdomen

E. Meconium

Passed in-utero = fetal distress
Causes: fetal hypoxia, fetal asphyxia, birth asphyxia

F. Jaundice

Type	Term	Pre-term	Timing
Physiologic	≤12 mg/dL	≤15 mg/dL	After 24 hrs; resolves before 7 days
Pathologic	>15 mg/dL	-	Within 24 hrs of birth
Mild (icteric)	5 mg/dL	-
Moderate	15 mg/dL	-
Complete/severe	25 mg/dL	-

G. Umbilical Sepsis (Omphalitis)

1st sign: Reluctant to feed
Features: red, swollen, foul-smelling
Complication: umbilical vein → portal circulation → liver abscess
Rx: immediate broad-spectrum antibiotics
Prophylaxis: Chlorhexidine right after delivery

Do the same for this also...along with wherever diagram and pic and flowchart is necessary

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Anaemia Integrated Teaching Notes

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What's inside

Section A — Approach to Anaemia

Presenting complaint: exertional breathlessness + palpitations
Flowchart 1: Anaemia → classify by Cause (Marrow Problem vs Peripheral Removal) with investigations mapped to each pathway

Section B — Morphological Classification

Flowchart 2: MCV → Microcytic | Normocytic | Macrocytic with causes and indices in a 3-column colour-coded table

Section C — CBC Indices In Depth

MCH vs MCHC explained
RBC colour diagram: Hypochromic / Normochromic / Hyperchromic with central pallor rule (>1/3)
Full MCH, MCHC, MCV, RDW reference table
RDW interpretation table (MCV + RDW → diagnosis)

Section D — Iron Deficiency vs Thalassaemia

Flowchart 3: Microcytic anaemia differentiation
Heme ✗ / Globin ✗ distinction
Mentzer Index: >13 = Fe def, <13 = Thalassaemia
Full comparison table (Hb, RBC, MCH, MCHC, target cells, RDW)

Section E — Normocytic Anaemia

Haemolysis, bleeding, chronic disease, renal failure
Investigations: reticulocytes, unconjugated bilirubin, CBC

Section F — Megaloblastic/Macrocytic Anaemia

Flowchart: ↑↑ MCV → Cytoplasmic problem → DNA defect → Fewer cell divisions
B12 / Folate deficiency mechanism

Section G — Investigations Summary Table

CBC, PBF, Bone Marrow, Reticulocyte count, Serum Bilirubin, Iron studies

Section H — Anaemia in Pregnancy (SAQs)

Q1: 4 complications table (preterm labour, IUGR, cardiac failure, PPH, maternal mortality)
Q2: Routes of iron therapy table (oral, parenteral, blood transfusion + indications)

Section I — Thalassaemia Extra Notes

Target cells, spider diagram, PBF findings

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Fix: just rename it after downloading.

Download the file (it will save as something like Anaemia_Integrated_Teaching_Notes.docx.json or similar)
Rename it - remove the .json extension so it ends in .docx
Open with Microsoft Word or Google Docs

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Go to drive.google.com
Upload the downloaded file (even with the wrong extension)
Right-click → "Open with Google Docs" - it will parse the XML correctly regardless of the filename extension

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Anaemia (Integrated Teaching):

Anaemia Integrated Teaching Notes

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Examination of Newborn:

Examination of Newborn Notes

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