The newborn examination

Part II. Emergencies and common abnormalities involving the abdomen, pelvis, extremities, genitalia, and spine

Mamta Fuloria, Shelley Kreiter

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Careful examination of the neonate at delivery can detect anomalies, birth injuries, and disorders that may compromise successful adaptation to extrauterine life. A newborn with one anatomic malformation should be evaluated for associated anomalies. If a newborn is found to have an abdominal wall defect, management includes the application of a warm, moist, and sterile dressing over the defect, decompression of the gastrointestinal tract, aggressive fluid resuscitation, antibiotic therapy, and prompt surgical consultation. Hydroceles are managed conservatively, but inguinal hernias require surgical repair. A newborn with developmental hip dysplasia should be evaluated by an orthopedist, and treatment may require use of a Pavlik harness. The presence of ambiguous genitalia is a medical emergency, and pituitary and adrenal integrity must be established. Early diagnosis of spinal lesions is imperative because surgical correction can prevent irreversible neurologic damage.

Original languageEnglish (US)
Pages (from-to)265-270
Number of pages6
JournalAmerican Family Physician
Volume65
Issue number2
StatePublished - Jan 15 2002
Externally publishedYes

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Genitalia
Pelvis
Abdomen
Spine
Emergencies
Extremities
Newborn Infant
Birth Injuries
Disorders of Sex Development
Hip Dislocation
Inguinal Hernia
Abdominal Wall
Bandages
Decompression
Resuscitation
Nervous System
Gastrointestinal Tract
Early Diagnosis
Referral and Consultation
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The newborn examination : Part II. Emergencies and common abnormalities involving the abdomen, pelvis, extremities, genitalia, and spine. / Fuloria, Mamta; Kreiter, Shelley.

In: American Family Physician, Vol. 65, No. 2, 15.01.2002, p. 265-270.

Research output: Contribution to journalArticle

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