child health notes

Apr 16th, 2015
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BIRTH ASPHYXIAA KAY E VEE PRESENTATIONDefinition Perinatalasphyxia, neonatal asphyxia, orbirth asphyxia is the condition resulting fromdeprivation of oxygen to a newborn infantthat lasts long enough during the birthprocess to cause physical harm, usually tothe brain. Other organs can be affected too but braindamage is most significant.In most cases, theinfant survives but with damage manifestedin various waysClassification Mildhypoxic-ischemic encephalopathy Muscle tone may be slightly increased anddeep tendon reflexes may be brisk duringthe first few days Transient behavioral abnormalities, such aspoor feeding, irritability, or excessive cryingor sleepiness (typically in an alternatingpattern), may be observed Typically resolves in 24hModerately severe hypoxic-ischemicencephalopathyThe infant is lethargic, with significant hypotoniaand diminished deep tendon reflexesThe grasping, Moro, and sucking reflexes may besluggish or absentThe infant may experience occasional periods ofapneaSeizures typically occur early within the first 24hours after birthFull recovery within 1-2 weeks is possible andis associated with a better long-termoutcome Severehypoxic-ischemic encephalopathySeizures can be delayed and severe andmay be initially resistant to conventionaltreatments. The seizures are usuallygeneralized, and their frequency mayincrease during the 24-48 hours after onset,

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