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 Scopus citations

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

ASJC Scopus subject areas

  • Family Practice

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