You are houseman on call in NICU and need to accompany Medical Officer on call to attend a baby of the diabetic mother who was just born via spontaneous vaginal delivery with birth weight 4.78 kg and not vigorous.
Questions
1)What are the further histories that you would like to obtain?
2)What complication that you expect in infant born to the diabetic mother
3)Explain the pathophysiology of one metabolic complication in infant of diabetic mother.
4)Targeted blood sugar level in baby and complication of hypoglycemia.
5)What are the causes of respiratory distress syndrome in infant of diabetic mother
6)How do you manage this baby
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other pathophysiology of hypoglycemia in infant of diabetic mother
ReplyDelete1) increased peripheral insulin receptors
2) reduced glucagon response to postnatal hypoglycemia
3) delayed evocation of hepatic gluconeogenic pathways
other causes that can cause respiratory distress
ReplyDelete1) polycythemia
2) hypoglycemia
3) congenital heart disease
Thank you arul for the update.. i will add it up to the answer....
ReplyDelete