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Chapter 3Clinical signs of serious neonatal
illness
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Lethargy
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Chest in-drawing
(Ref. p.87)
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(Ref. p.87)
Nasal flaring
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Abdominal distension - cellulitis
(Ref. p.54)
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Purpuric (septic) spots, abdominal distension
(Ref. p.168)
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Abdominal distension: bowel obstruction
(Ref. p.283)
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Jaundice, abdominal distension
(Ref. p.64)
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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
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Cellulitis / osteomyelitis
(Ref. p.288)
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Septic arthritis
(Ref. p.186, 289)
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Skin pustules: staph infection
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(Ref. p.287)
Breast abscess
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Fever and umbilical redness and swelling
(Ref. p.54)
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Conjunctivitis
(Ref. p.66)
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Suspect meningitis if:
• General illness– Irritability– Vomiting everything– Lethargy
• Tense or bulging fontanelle
• Stiff neck (late)
• High pitched cry
• Apnoeic episodes
• Convulsions
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Bulging fontanelle
(Ref. P.54)
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Trismus and increased muscle tone - neonatal tetanus
(Ref. P.25)
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Birth Asphyxia
Ref. p. 47-49, 51
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Birth Asphyxia
(Ref. p. 47-49)
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Congenital syphilis
(Ref. p. 67)