Presentation
It presents as a large number of firmly adherent, small, white plaques that may interfere with feeding by making the mouth sore. [patient.info]
We present here a male child initially admitted to the neonatal intensive care unit (NICU) with respiratory distress who turned out to have a PAS. [springerplus.springeropen.com]
Clinical presentation Symptoms observed in infants with RDS are indicative of difficulty with breathing. [pedclerk.bsd.uchicago.edu]
Entire Body System
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Physician
Buck's 2017 ICD-10-CM for Physicians: Professional Edition. Designed by coders for coders, this full-color manual includes all the ICD-10 codes needed for today’s outpatient and physician office coding. [books.google.de]
Respiratory distress occurs in approximately 7 percent of infants, 1 and preparation is crucial for physicians providing neonatal care. [aafp.org]
Our team includes physicians that are board certified in obstetrics and gynecology and maternal-fetal medicine, high risk sonographers, genetic counselors, nurses and experienced support staff. [mdperinatal.com]
Echocardiography with Doppler flow allows the physician to assess the presence and direction of the shunt at the ductus arteriosus and foramen ovale. [emedicine.medscape.com]
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Surgical Procedure
There were significant changes in the pancreas consistent with cystic fibrosis as well as involvement of the small intestine and changes related to the surgical procedures. Images This is a gross photograph of liver and pancreas from the autopsy. [peir.path.uab.edu]
The use of the VRI device showed earlier disorder of hypoventilation compared to chest X-ray, especially after abdominal surgical procedures, intraabdominal hypertension and various lung pathology as it detected laterobasal pneumothorax earlier. [signavitae.com]
The patient underwent various surgical procedures that compromised his respiratory mechanics and hampered early weaning from IMV. [ncbi.nlm.nih.gov]
procedure on mother Excl.: caesarean section for present delivery (P03.4) damage to placenta from amniocentesis, caesarean section or surgical induction (P02.1) previous surgery to uterus or pelvic organs (P03.8) termination of pregnancy, fetus (P96.4 [embryology.med.unsw.edu.au]
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Underweight
" classifiable to 764.0, who in addition show signs of fetal malnutrition, such as dry peeling skin and loss of subcutaneous tissue 764.2 Fetal malnutrition without mention of "light-for-dates" Infants, not underweight for gestational age, showing signs [theodora.com]
Hematological
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Neonatal Hemorrhage
Administration of vitamin K to prevent neonatal hemorrhagic disease, particularly when given in what we now know as excessive dosage, occasionally resulted in kernicterus. Prophy lactic sulfonamide use had a similar end result. [books.google.com]
hemorrhage (772.0-772.9) 776.1 Transient neonatal thrombocytopenia Neonatal thrombocytopenia due to: exchange transfusion idiopathic maternal thrombocytopenia isoimmunization 776.2 Disseminated intravascular coagulation in newborn 776.3 Other transient [theodora.com]
hemorrhages P549Neonatal hemorrhage, unspecified P60Disseminated intravascular coagulation of newborn P610Transient neonatal thrombocytopenia P611Polycythemia neonatorum P612Anemia of prematurity P613Congenital anemia from fetal blood loss P614Other [cms.gov]
Respiratoric
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Pulmonary Disorder
Respiratory Distress Syndrome of the Newborn Hyaline Membrane Disease General Considerations Acute pulmonary disorder of the newborn characterized by Generalized atelectasis Intrapulmonary shunting Ventilation-perfusion abnormalities Reduced lung compliance [learningradiology.com]
INTRODUCTION Atelectasis is a pulmonary disorder that often occurs after extubation, particularly during patients' postoperative periods. [ncbi.nlm.nih.gov]
Cardiovascular
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Heart Disease
[…] the diagnosis, assess cardiac function, and exclude associated structural heart disease. [emedicine.medscape.com]
Mullowney T, Manson D, Kim R, Stephens D, Shah V, Dell S [Diagnostic and therapeutic methods for perioperative children with congenital heart disease with airway stenosis in pediatric intensive care unit]. [medicbind.com]
Congenital heart disease also may be implicated. Cyanotic heart disease includes transposition of the great arteries and tetralogy of Fallot. Noncyanotic heart lesions may cause a pulmonary overflow state leading to congestive heart failure. [aafp.org]
diseases I279Pulmonary heart disease, unspecified PDX Collection 1008:1 code P2981Cardiac arrest of newborn PDX Collection 1009:30 codes P290Neonatal cardiac failure P2911Neonatal tachycardia P2912Neonatal bradycardia P292Neonatal hypertension P294Transient [cms.gov]
PAS is frequently associated with tracheal anomalies, congenital heart disease, and lung abnormalities. [springerplus.springeropen.com]
Fetus
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Hydrops Fetalis
Stay at the forefront of your field thanks to new and completely revised chapters covering topics such as: Principles and Practice l Immune and Non-immune Hydrops Fetalis l Amniotic Fluid Volume l Enhancing Safe Prescribing in the Neonatal Intensive Care [books.google.de]
fetalis due to haemolytic disease Excl.: hydrops fetalis NOS (P83.2) hydrops fetalis NOS not due to haemolytic disease (P83.2) P56.0 Hydrops fetalis due to isoimmunization P56.9 Hydrops fetalis due to other and unspecified haemolytic disease P57 Kernicterus [embryology.med.unsw.edu.au]
fetalis not isoimmunization ICD-9 Code 778.1 sclerema neonatorum ICD-9 Code 778.2 cold injury syndrome newborn ICD-9 Code 778.3 hypothermia newborn ICD-9 Code 778.4 dehydration fever newborn ICD-9 Code 778.5 edema neonatorum ICD-9 Code 778.6 congenital [findacode.com]
fetalis not due to isoimmunization Idiopathic hydrops Excludes: hydrops fetalis due to isoimmunization (773.3) 778.1 Sclerema neonatorum 778.2 Cold injury syndrome of newborn 778.3 Other hypothermia of newborn 778.4 Other disturbances of temperature [theodora.com]
Musculoskeletal
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Osteoporosis
Other issues can arise, such as aggravation of diabetes mellitus, osteoporosis, skin atrophy and growth retardation in children. [23] Inhibitors of phosphodiesterase [ edit ] Phosphodiesterases (PDE) degrades cAMP and cGMP and, within the respiratory [en.wikipedia.org]
Urogenital
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Cesarean Section
The coverage of the text includes the endocrine tests in the assessment of pregnancy; role of amniocentesis in elective cesarean section; and pharmacological prevention of premature delivery. [books.google.de]
The decade of the eighties opened with the all-time highest rate of cesarean section in the United States. [books.google.com]
[…] atelectasis Intrapulmonary shunting Ventilation-perfusion abnormalities Reduced lung compliance M:F 1.8:1 Cause Immature surfactant production (usually begins at 18-20 weeks of gestational age) Causes acinar atelectasis Predispositions Premature infants Cesarean [learningradiology.com]
section for present delivery (763.4) damage to placenta from amniocentesis, cesarean section, or surgical induction (762.1) previous surgery to uterus or pelvic organs (763.89) 760.7 Noxious influences affecting fetus or newborn via placenta or breast [theodora.com]
Although prematurity is the primary risk factor, there are several other risk factors including maternal diabetes, cesarean section, asphyxia, rapid labor, and complications that reduce blood flow to the fetus [ 5, 6 ]. [pedclerk.bsd.uchicago.edu]
Treatment
Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout. [books.google.de]
85 Pathology and Treatment of Liver Diseases 641 86 Neonatal CholestasisConjugated Hyperbilirubinemia 650 87 Surgical Treatment of Biliary Tract Malformations 659 88 Orofacial Malformations 664 89 Esophageal Atresia 675 90 Gastrointestinal Malformations [books.google.it]
Oxygenation index was 29.5 before treatment was started. This reduced to 20.9 at 24 h after DNase treatment was started. [nature.com]
[17] Surfactant treatment [ edit ] Lung lavage with diluted surfactant is a new treatment with potentially beneficial results depending on how early it is administered in newborns with MAS. [en.wikipedia.org]
Prognosis
Most foals with NE have a good to very good prognosis. In uncomplicated cases, the reported survival rate is 70%–75%, with complete recovery in most cases. Sepsis and related complications adversely affect the prognosis. [merckvetmanual.com]
[…] ground-glass” opacification of both lungs with air bronchograms and hypoaeration Hypoaeration from loss of lung volume (may be counteracted by respiratory therapy) Fine granular pattern Prominent air bronchograms Bilateral and symmetrical distribution Prognosis [learningradiology.com]
Outlook (Prognosis) In an adult, atelectasis in a small area of the lung is usually not life threatening. The rest of the lung can make up for the collapsed area, bringing in enough oxygen for the body to function. [mountsinai.org]
Development of pulmonary interstitial emphysema within the first 24-48 hours after birth is often associated with extreme prematurity, very low birth weight, perinatal asphyxia, and/or neonatal sepsis and frequently indicates a grave prognosis. [neonatalicu.blogspot.com]
Prognosis Typically, the symptoms worsen a few days after birth but slowly improve afterwards. The goal is to support the infant while the lungs begin producing surfactant. [pedclerk.bsd.uchicago.edu]
Etiology
Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. [books.google.de]
Chapter Outline Etiology and Epidemiology Postoperative atelectasis develops when lung expansion is decreased or when excess airway secretions cause mucous plugs, which in turn produce distal “degassing” of lung units. [clinicalgate.com]
The most common etiology of neonatal respiratory distress is transient tachypnea of the newborn; this is triggered by excessive lung fluid, and symptoms usually resolve spontaneously. [aafp.org]
Introduction and Etiology Respiratory Distress Syndrome (RDS) is a life threatening pulmonary disease primarily of the premature infant caused by surfactant deficiency Pulmonary surfactant is a complex lipoprotein composed of phospholipids and apoproteins [pedclerk.bsd.uchicago.edu]
[…] pneumonia, respiratory distress syndrome, pulmonary sequestration, and pulmonary hypoplasia resulting in hypercarbia and respiratory acidosis Sepsis Alveolar capillary dysplasia Surfactant protein B deficiency Respiratory or metabolic acidosis of any etiology [emedicine.medscape.com]
Epidemiology
الصفحة 47 - Health care organizations should maintain a current demographic, cultural, and epidemiological profile of the community as well as a needs assessment to accurately plan for and implement services that respond to the cultural and linguistic [books.google.com]
Seite 47 - Health care organizations should maintain a current demographic, cultural, and epidemiological profile of the community as well as a needs assessment to accurately plan for and implement services that respond to the cultural and linguistic [books.google.de]
Chapter Outline Etiology and Epidemiology Postoperative atelectasis develops when lung expansion is decreased or when excess airway secretions cause mucous plugs, which in turn produce distal “degassing” of lung units. [clinicalgate.com]
Syndrome 1160 137 Neuroprotective Strategies 1173 138 Cerebral Hemorrhage 1180 139 Neonatal Arterial Stroke 1192 140 Neonatal Seizures 1199 141 The Timing of Neonatal Brain Damage 1208 142 Thrombosis in the Development of Newborn Brain Damage 1216 143 Epidemiology [books.google.it]
Epidemiology About 1 in 20,000-30,000 newborn US infants will have RDS. Approximately half of neonates born at gestation age of 26-28 weeks will develop RDS, while about 30% of 30-31 gestation week neonates will develop it [ 4 ]. [pedclerk.bsd.uchicago.edu]
Pathophysiology
699 92 Meconium Plug Syndrome 704 93 Hirschsprungs Disease 708 94 Gastroenteritis and Intractable Diarrhea 713 95 Rehydration after Diarrhea 719 96 Necrotizing Enterocolitis 724 97 Surgical Treatment of Necrotizing Enterocolitis 731 Overview 735 99 Pathophysiology [books.google.it]
It describes the spectrum of disorders and pathophysiology of newborns born in meconium-stained amniotic fluid (MSAF) and have meconium within their lungs. [en.wikipedia.org]
Which of the following pathophysiologic conditions are components of meconium aspiration? I. Surfactant inactivation II. [studystack.com]
This is the underlying pathophysiologic derangement of neonatal respiratory distress syndrome. [link.springer.com]
5 percent of those born after 34 weeks' gestation. 6 The condition is more common in boys, 7 and the incidence is approximately six times higher in infants whose mothers have diabetes, because of delayed pulmonary maturity despite macrosomia. 8 The pathophysiology [aafp.org]
Prevention
The coverage of the text includes the endocrine tests in the assessment of pregnancy; role of amniocentesis in elective cesarean section; and pharmacological prevention of premature delivery. [books.google.de]
Administration of vitamin K to prevent neonatal hemorrhagic disease, particularly when given in what we now know as excessive dosage, occasionally resulted in kernicterus. Prophy lactic sulfonamide use had a similar end result. [books.google.com]
In this patient, NPPV effectively prevented atelectasis by delivering 5 cm H 2 O of CPAP, which kept the peripheral airways open, as shown in a clinical study investigating the effect of NPPV on the prevention of postoperative atelectasis [ 1 ]. [jintensivecare.biomedcentral.com]
Prevention Not all atelectasis can be prevented. To help reduce your baby’s chance of atelectasis, take these steps: Be careful with small objects around infants. Work with your doctor to treat or manage any lung conditions your baby has. [winchesterhospital.org]
With the exciting new possiblity of both prevention or replacement therapy for HMD the future looks promising. [neonatology.org]