Microcephaly & Macrocephaly

Microcephaly & Macrocephaly

Primary prerequisite for the diagnosis of microcephaly/macrocephaly is the proper horizontal head circumference (HC) measurement (frontal-occipital circumference): supine position glabella – opisthocranion as anchor points normocephaly (32-38 cm for a term newborn) => refer to percentile graphs for your hospital, region or country percentile graphs for preterm population (Fenton graphs) sexual dimorphism…

Hyperbilirubinemia

Hyperbilirubinemia

Hyperbilirubinemia is defined as serum bilirubin concentration > 25 μmol/l. However, clinical presentation (jaundice (icterus) – yellowish colouring of the skin, sclera and mucosa) is apparent in newborns usually around hyperbilirubinemia of 80-100 μmol/l. It is one of the most common clinical and laboratory findings in both term and preterm infants (antenatally, placenta is responsible for…

Leukocyte abnormalities

Leukocyte abnormalities

There are significant differences (leukocyte abnormalities) in white blood cell (WBC) total and differential counts between newborns and older children. Alterations in WBC total and differential count can be an early sign of infection (leukopenia, leukocytosis, shift to the left). Total WBC counts should be always adjusted for given postnatal age – see Table. I/T index…

Congenital infection

Congenital infection

Congenital infection is a relatively rare, infectious intrauterine complication. Sometimes also called fetal infections due to pathogenesis – transplacental transmission from mother to fetus. The pathogen can be the cause of fetal demise, organ malformations, and preterm birth with its consequences; however, the pregnant woman is often asymptomatic. There are preventive measures against certain pathogens (rubeola…