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Doctor insights on: Neonatal Metabolic Complications

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What is the result of neonatal screen positive in inherited metabolic disorders?

What is the result of neonatal screen positive in inherited metabolic disorders?

Depends: A screening test is a relatively simple & inexpensive test designed to narrow down the number of patients brought in for the more expensive specific tests. For every 10, 000 screened, 100 may show positive & secondary tests will show 2--3 with a real problem. The screen eliminated 99% that didn't need a specific test. The state notifies me of + screens & we get the tests. If a real pbm, rx is atarted. ...Read more

Dr. Oscar Novick
1 Doctor shared a insight

Neonatal (Definition)

The term neonatal is generally used to describe events that occur with an infant within the first 30 days after birth. Some practitioners are looser with the definition & extend the ...Read more


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Is ga-1 metabolic disorder part of newborn screening in pennsylvania?

Is ga-1 metabolic disorder part of newborn screening in pennsylvania?

Yes: Glutaric acidemia type 1 is part of the pa newborn screening. Please discuss those results with your pediatrician if you have concerns. ...Read more

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Managing Pregnancy Complications (Checklist)

Keep all of your scheduled appointments with your gynecologist
once
Contact your doctor if you experience unusual symptoms
once
Monitor the baby's kick counts during your third trimester
once
Discuss the optimal time for delivery with your gynecologist
once
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What are the tests for preterm/neonatal complication - meningitis?

What are the tests for preterm/neonatal complication - meningitis?

Combination: There are tests such as brain echo, MRI, EEG. It may take time to observe developmental progress. ...Read more

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I was born with imperforated anus which I had surgery for as a neonate. Would it be advisable to have a natural birth and what could the complications?

I was born with imperforated anus which I had surgery for as a neonate. Would it be advisable to have a natural birth and what could the complications?

Hard to say: The defect you had varies from low - a simple membrane (wall) that didn't open to high- a need to pull down bowel through delicate anal muscles and attach them. Natural delivery may or may not place you at increased risk of a tear through these tissues that would have you pooping through your vagina. It would be reasonable to review your history with the OBGYN and come up with a plan based on you ...Read more

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My newborn is situs inversus and possibly has pcd, What are the long term health complications?

My newborn is situs inversus and possibly has pcd, What are the long term health complications?

Not enuf info: There are too many variables to answer. Situs inversus alone is not a heath hazard but if it's associated with other other congenital defects, it might be. Primary cilary dysfunction outlook depends on severity. ...Read more

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Are there any major complications to hemolytic disease of the newborn on the baby?

Yes: Hemolytic disease of the newborn can result in significant jaundice and/or anemia, either of which may require emergency medical intervention. Even when the jaundice subsides, the infant is at risk for anemia for the first several weeks of life. ...Read more

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What are the complications with a premature (34 weeks) male newborn who is missing a chromosome?

What are the complications with a premature (34 weeks) male newborn who is missing a chromosome?

Which one?: The answer to your question will likely vary depending on which chromosome has been deleted. ...Read more

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What possible complications can there be for a newborn baby who's mother eats a lot of sugar and processed foods?

What possible complications can there be for a newborn baby who's mother eats a lot of sugar and processed foods?

Hard to say: The human reproductive system is capable of tolerating a variety of dietary patterns. It can select and extract the nutritional needs of the fetus from the mother whether she is consuming a proper diet or not. That said, this describes the dietary practices of a segment of the normal population who have normal babies every day in the US. ...Read more

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Mother blood o+ newborn o- what complications can arise and solution to that the child is sick and need blood replacement at this stage?

Usually no problem: Mom's with rh negative build antibodies against their baby if the baby is rh positive. This usually is not an issue the other way around. ...Read more

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My newborn is infected "alveolar rupture complication"." pneumopericardium", the doctor said. What is this? How to treat it?

My newborn is infected "alveolar rupture complication"." pneumopericardium", the doctor said. What is this? How to treat it?

Translation: Alveoli are the sacs in the lung where oxygen is exchanged, rupture just beans some of these sacs broke and air leaked into unusual spaces. Pneumopericardium just means there is air in the sac that contains the heart. Specific treatments for both vary with degree and explanation is beyond the space available for this answer. Discuss with the docs. ...Read more

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What do you suggest if my newborn is infected "alveolar rupture complication"." pneumopericardium", the doctor said. How to treat it?

What do you suggest if my newborn is infected "alveolar rupture complication"." pneumopericardium", the doctor said. How to treat it?

Treatment varies: Your lungs are little bunches or air sacks - one of these popped open on your newborn and air escaped where it shouldn't have. How it's treated depends on how big the air leak was. If big, sometimes needs a tube put in chest to remove the air. If small, which most are, can often just watch baby very closely and body will take care of it on its own. Baby needs very close monitoring in the meantime. ...Read more

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I have a hh agency (new), peds & just had first time request for light therapy for newborn jaundice infant. What complications are there?

I have a hh agency (new), peds & just had first time request for light therapy for newborn jaundice infant. What complications are there?

See below: Blue light therapy for jaundice is standard for breaking down the bilirubin that is being produced and seen in the skin and sclera. As long as the child's eyes are protected and hydration is monitored along with the bilirubin levels (by a health care professional), I fore see no complications as long as the bilirubin level is lowering and the child is not sick as well. ...Read more

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What is the earliest number of week s pregnant when a baby can survive being born early in the neonatal iuc?

What is the earliest number of week s pregnant when a baby can survive being born early in the neonatal iuc?

23 to 24 weeks: Infants can frequently survive at this age, but many of them have severe morbidities such as cerebral palsy, chronic lung disease, failure to thrive (grow) and future school problems. ...Read more

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My S. Calcium level came 8.4. Is this low? Can it be indicative of any underlying metabolic problem or Psoriasis?

My S. Calcium level came 8.4. Is this low? Can it be indicative of any underlying metabolic problem or Psoriasis?

Here are some. ..: I would not get excited by solitary marginal reading of total serum calcium (with its normal range around 8.5-10.2 mg/dl. Instead, repeat it in 1-2 months and correlate its value with total serum proteins, especially albumen, as well as overall health, etc. To draw a sensible conclusion and suggestion out of this concern. Besides, invite a willing soul to move & push realistic living along... ...Read more

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Does pain increase metabolic rate?

Does pain increase metabolic rate?

Theoretically yes: Acute pain will cause an increase in heart rate and metabolic rate initially. ...Read more

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How do I increase my metabolic rate?

How do I increase my metabolic rate?

Exercise: Exercise increases muscle mass. Resting metabolic rate increases with muscle mass so it will increase how much energy you burn even during sleep. ...Read more

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How much time is the neonatal stage of humans?

How much time is the neonatal stage of humans?

28 days: Medically, babies are considered newborns for 28 days and infants until they are 1 year. ...Read more

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Whar are some natural foods that will increase my metabolics?

Whar are some natural foods that will increase my metabolics?

Burn fat faster? Nah: There are few magic foods that "burn" calories no matter how many claims you hear or read. There is no substitute for exercise, portion control, & calorie restriction. That being said, you increase metabolism if you eat breakfast (versus not), avoid empty calories like alcohol & junk food, speed stomach emptying with small volume low fat meals. Avoid stimulants (caffeine), laxatives, fad diets. ...Read more

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How common is neonatal tetanus?

How common is neonatal tetanus?

Depends on location: Neonatal tetanus is more common in situations where mom was never immunized or incompletely immunized leaving the baby without maternal protection at birth. Add that to the localized practices & problems result. Cutting the cord with a contaminated blade, or the application of dung (practiced in some cultures) to speed cord stump separation & there's a good chance baby will get neonatal tetanus. ...Read more

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What is neonatal nurse practitioner?

What is neonatal nurse practitioner?

Just like it sounds: A nurse practitioner that specializes in neonatal medicine. ...Read more

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What are the tests for metabolic syndrome?

What are the tests for metabolic syndrome?

Many: First, most have an apple build, ie. Carry weight on the torso, rather than buttocks and extremities. Family hx of hbp, cholesterol problems, diabetes 2, and ASHD or mi, especially if strong. I obtain fasting lipids, insulin, hgba1c, and in females, free and total testosterone. The latter, since pcos is common. A lipid profile that suggests Insulin resistance is high triglycerides and low hdl. ...Read more

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What are the symptoms of Metabolic syndrome?

What are the symptoms of Metabolic syndrome?

A variety: Of problems caused by insulin resistance. They are weight on the middle (abdomen), bad cholesterol (with elevated triglycerides and low HDL), hypertesion, and ultimately diabetes. ...Read more

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Please tell me what neonatal icu nurse does?

Please tell me what neonatal icu nurse does?

Critical care: Neonatal ICU nurses focus their work on the care of newborns in trouble. These include premature infants that weigh a few pounds at birth and big term newborns that develop complications. Issues including breathing problems, infection, birth defects, and more that have need for constant supervision. ...Read more

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What are the tests for syndrome x (metabolic)?

What are the tests for syndrome x (metabolic)?

Many. Family Hx 1st.: First, most have an apple build, ie. Carry weight on the torso, rather than buttocks and extremities. Family hx of hbp, cholesterol problems, diabetes 2, and ASHD or mi, especially if strong. I obtain fasting lipids, insulin, hgba1c, and in females, free and total testosterone. The latter, since pcos is common. A lipid profile that suggests Insulin resistance is high triglycerides and low hdl. ...Read more

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What is metabolic syndrome? How is it diagnosed?

Group Of RiskFactors: It is not a disease in itself but a group of Risk Factors
1High Blood Pressure135/85 Or higher
2High Blood SugarFasting>100mgm
3Unhealthy Cholesterol levels including
a High Triglyceride more than 150mgm/dl
bLow HDL Level MEN ...Read more

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What does Neonatal alloimune thrombocytopenia mean?

NAT: Neonatal (fetus or newborn under 1 month)
alloimmune (immune response to foreign antigen)
thrombocytopenia (low platelet count).

NAT occurs when substances from mother's body pass into the baby's system, causing destruction of platelet cells. ...Read more

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What are the presenting symptoms of metabolic syndrome?

Many: Presaging cluster of problems with metabolic syndrome is Insulin resistance associated with an apple build, weight on the middle. Insulin in excess amounts is inflammatory. Then issues such as hirsuitism, pcos, may develop in women, followed by hyperglycemia during pregnancy. Afterwards, men and women may see lipid alterations (high triglycerides, and low HDL levels. \bp problems and type 2dm comes. ...Read more

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Which types of foods are not a factor of metabolic syndrome?

Which types of foods are not a factor of metabolic syndrome?

Avoid starch & sugar: Foods that have a low glycemic index. That means they are not converted immediately to sugar by the body. Protein, oils, fiber, and low-caloric density vegetables are foods to ingest. Avoid simple starches and foods with appreciable sugars. ...Read more

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Help please? What is metabolic syndrome and the criteria in diagnosing this syndrome?

Syndrome is:: Abdominal obesity (waist ≥102 cm (40 in) in men or ≥88 cm (35 in) in women)

serum triglycerides ≥150 mg/dl

serum HDL cholesterol. ...Read more

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What's tidal volume for a neonate?

What's tidal volume for a neonate?

Pulmonary term: Tidal volumes are measured when infants are on a ventilator and it measure the total volume needed to expand the lung adequately. ...Read more

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Nderstand my CBC and metabolic test?

Nderstand my CBC and metabolic test?

Your physician's job: We can't explain it here without seeing it and seeing you. If you have specific questions after visiting with your physician, let us know. Best wishes. ...Read more

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Can neonatal herpes hurt my baby bad?

Can neonatal herpes hurt my baby bad?

A 10 ON BAD SCALE: If at all possible you want to avoid this possibility. The germ has a habit of entering the babies brain and destroying tissue. The appearance on a CT scan on survivors is like Swiss cheese. Permanent disability is common. Even early recognition and treatment does not assure a good outcome. ...Read more

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What causes neonatal encephalopathy?

What causes neonatal encephalopathy?

See below:: In ne, it is not always possible to document a significant hypoxic-ischemic insult. There are potentially several other etiologies, specifically, it is important to exclude metabolic disease, infection, drug exposure, nervous system malformation and neonatal stroke as possible causes of the encephalopathy. The nature of brain injury causing neurologic impairment in a newborn is poorly understood. ...Read more

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Ideas of metabolic disorders testing?

Ideas of metabolic disorders testing?

Metabolic syndromeDx: Lipid panel, fasting glucose, hemoglobin a1c, and a fasting glucose to Insulin ratio. Finally, an exam to determine if you have an apple build and a family history. These last two are the most important to point to metabolic syndrome! ...Read more

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What really works for metabolic syndrome?

What really works for metabolic syndrome?

Combination: Of treatments. Metabolic syndrome is obesity, diabetes, elevated lipids and hypertension. Treatment is multifactorial. Change of diet (less carbs, sweets, more protein vegies), increase exercise, weight loss, medications as indicated for diabetes and high blood pressure and elevated cholesterol. Good luck. ...Read more

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What are the tests for metabolic acidosis?

What are the tests for metabolic acidosis?

See below: Metabolic acidosis can be detected by blood teasts. Patients can present with kussmauls breathing which is deep ventilation or breathing. Some patients have abdominal pain blood tests show a low bicarbonate (sodium bicarbonate) level and a low co2 level seen on blood gases. This is a serious condition with many causes, commonly seen with diabetic ketoacidosis. ...Read more