Medicine an Surgery notes

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NEONATOLOGYThursday, October 11, 2012MOUTHA normal mouth may occasionally have a precocious dentition with natal eruption (present at birth) orneonatal eruption (after birth) teeth in the lower incisor position or aberrantly placedThese teeth are usually shed before the deciduous ones erupt. Extraction is not indicated. Prematureeruption of deciduous teeth is even more unusualSoft and hard palate should be inspected and palpated for complete or sub-mucosal cleft and the contournoted particularly excessively high arch. Inspect for possible bifid and uvula on the hard palate on either sideof the rapheNeonates dont have active salivation; the tongue appears relatively large; the frenulum may be short. Ifthere are problems with feedings and the frenulum is short, frenulotomy may be indicated.The sublingual mucus membrane occasionally forms a prominent field. The cheeks have a fullness on bothbuccal and external aspects as a result of accumulation of fat making the sucking pads. These pads as well aslabial tubercle on the upper lip (sucking callus) disappear when sucking ceases.The throat of a newborn infant is hard to see because of the low arch of the palate. It should be clearlyviewed because it is easy to miss the palatial or uvular clefts. The tonsils are small.MyNB: Turners syndrome assd with high arch palate. BruxismHEAD. Congenital RicketsNECKThe neck o a newborn infant appears relatively short. Abnormalities

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