Chapter 3 Clinical signs of serious neonatal illness

1
Chapter 3Clinical signs of serious neonatal
illness
2
Lethargy
3
Chest in-drawing
(Ref. p.87)
4
Nasal flaring
(Ref. p.87)
5
Abdominal distension - cellulitis
(Ref. p.54)
6
Purpuric (septic) spots, abdominal distension
(Ref. p.168)
7
Abdominal distension bowel obstruction
(Ref. p.283)
8
Jaundice, abdominal distension
(Ref. p.64)
9
Look for localizing signs

• Pus draining from ear
• Skin pustules
• Umbilical redness extending to the peri-umbilical
  skin or draining pus
• Painful joints, joint swelling, reduced movement

10
Cellulitis / osteomyelitis
(Ref. p.288)
11
Septic arthritis
(Ref. p.186, 289)
12
Skin pustules staph infection
13
Breast abscess
(Ref. p.287)
14
Fever and umbilical redness and swelling
(Ref. p.54)
15
Conjunctivitis
(Ref. p.66)
16
Suspect meningitis if

• General illness
• Irritability
• Vomiting everything
• Lethargy
• Tense or bulging fontanelle
• Stiff neck (late)
• High pitched cry
• Apnoeic episodes
• Convulsions

17
Bulging fontanelle
(Ref. P.54)
18
Trismus and increased muscle tone - neonatal
tetanus
(Ref. P.25)
19
Birth Asphyxia
Ref. p. 47-49, 51
20
Birth Asphyxia
(Ref. p. 47-49)
21
Congenital syphilis
(Ref. p. 67)