JOHNSON'S Baby Top-To-Toe Wash 500ml

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Pallor: a pale colour of the skin that can suggest underlying anaemia (e.g. haemorrhage) or poor perfusion (e.g. congestive cardiac failure). Consider vaginal injury in patients with lower abdominal pain, pelvic fracture or perineal laceration. In such situations, a vaginal examination should be performed. Inspect the anus for patency: abnormal embryological development of the rectum can result in an imperforate anus.

Inspect the lower limbs for abnormalities (e.g. asymmetry, oedema, ankle deformities, missing digits)

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Assess a selection of the following reflexes which should all be present in a healthy newborn. The absence of several reflexes may indicate an underlying neurological abnormality. Palmar grasp reflex Note any ambiguity of genitalia: typically associated with congenital adrenal hyperplasia (CAH) in girls (boys with CAH have normal genitalia). Males Listen over each area with both the bell (for low pitched sounds – gallops and split S2) and the diaphragm (high pitched sounds – pericardial rubs, S1/S2 and most murmurs).

Newborn and Infant Physical Examination Screening Programme Handbook 2016/17. Public Health England. Published April 2016. Retrieved 15 March 2017.Palpate the entire chest wall for crepitus (subcutaneous emphysema) and tenderness. The area over the sternum and clavicles require special attention as fractures involving these bones may suggest significant force and need for further evaluation of other intrathoracic injuries. Assess any respiratory effort and work of breathing. Evaluate whether breath sounds are symmetrical and heart sounds are normal and not muffled. Inspect whether there is any bruising related to a seatbelt. Examine the head for scalphematoma, skull depression, or laceration. The scalp should be palpated, since scalp lacerations or bony step-offs may be identified only by careful palpation. Palpate the entire facial bony margins including orbit, the maxilla, the nose and jaw. Aurora Bakalli, Tefik Bekteshi, Merita Basha, Afrim Gashi, Afërdita Bakalli and Petrit Ademaj. Adapted by Geeky Medics. Pectus excavatum. Licence: CC BY-SA. Dermalogica Skincare. This treatment forms the foundation of Dermalogicas selection of services. This is the revolutionary treatment as it includes the ‘Face Mapping’ analysis and is unique to you. Assess for evidence of testicular swelling indicative of hydrocele: a collection of fluid around the testicle (the swelling will transilluminate when a light source is placed nearby).

Cephalhaematoma is a subperiosteal haemorrhage which occurs in 1-2% of infants and may increase in size after birth. The haemorrhage is bound by the periosteum, therefore, the swelling does not cross suture lines (in contrast to a caput succedaneum). Cephalhaematoma is more common with instrumental delivery and may cause jaundice, therefore, bilirubin should be monitored. Hair tufts and sacral pits can be associated with underlying neural tube defects (e.g. spina bifida).

In this, visualize all possible areas of skin. This includes thelocationsof lacerations, abrasions, ecchymosis, hematoma, marks or bruises. Pay attention to the hidden areas: If the parents have not read the information booklet they must be given a copy to read before to the examination. Count the respiratory rate whilst observing the child. The normal respiratory rate of a newborn is 40-60 breaths per minute. Work of breathing Subgaleal haemorrhages occur between the aponeurosis of the scalp and periosteum and form a large, fluctuant collection which crosses sutures lines. They are rare but may cause life-threatening blood loss. Caput succedaneum is a diffuse subcutaneous fluid collection with poorly defined margins (often crossing suture lines) caused by pressure on the presenting part of the head during delivery. It does not usually cause complications and resolves over the first few days. 4

You might also be interested in our OSCE Flashcard Collection which contains over 2000 flashcards that cover clinical examination, procedures, communication skills and data interpretation. Parents should have received the National Screening Committee leaflet ‘Screening tests for you and your baby’ in the antenatal period. Inspect the skin for colour abnormalities (e.g. pallor, jaundice), bruising/lacerations and birthmarks

StatPearls [Internet].

Share the results of the assessment with the parents, explaining the reason for any referrals you feel are required