View of the Factors That Influence the Decision to Circumcise Or Leave Your Baby Boy’S Penis Intact
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DIII Dermatitis Cradle
Oklahoma State Department of Health 01-2018 Reviewed DERMATITIS/CRADLE CAP I. DEFINITION: A relatively common oily, scaling skin eruption affecting areas with large numbers of sebaceous glands. A common, chronic, inflammatory skin disorder with a characteristic pattern for different age groups. II. CLINICAL FEATURES: A. In children, two age groups are affected: infants and adolescents B. Mild scalp skin inflammation presents as fine, dry, white or yellow greasy scale, on an inflamed base C. More severe eruptions appear as dull, red plaques with thick, white or yellow scale in a diffuse distribution, occurring in common areas: 1. Infants: Scalp (cradle cap), scalp margins, and forehead. 2. Adolescents: Scalp, scalp margins, eyebrows, base of lashes, paranasal, nasolabial folds, external ear canals, posterior auricular fold, presternal areas, upper back and groin. D. Pruritis is usually not prominent, but may have mild itching. III. MANAGEMENT PLAN: A. General 1. MILD TO MODERATE CASES: Remove heavy scales and crusts with warm water and baby shampoo. Apply shampoo to affected area and leave on 5-10 minutes before rinsing. Comb hair with fine-tooth comb, soft baby brush or soft toothbrush, after each treatment. Shampoo every other day until scales are gone, then twice a week. 2. MODERATE TO SEVERE CASES: Use any non-prescription dandruff shampoo containing selenium sulfide (i.e., Selsun Blue) or zinc pyrithione (i.e. Head and Shoulders) every day or two. After the scales resolve, regular shampoo may be used with intermittent use of dandruff shampoo. The frequency will vary depending upon the child. If redness or irritation of the scalp is apparent, discontinue shampoo. -
Simple Checklist for the Full- Term Healthy Newborn Visit Stan L
Healthy Baby Practical advice for treating newborns and toddlers. Simple Checklist for the Full- Term Healthy Newborn Visit Stan L. Block, MD, FAAP hen I am in the nursery dis- kind of event for which child protective Pacifiers cussing routine newborn services have been known to remove Although controversial, these can ac- Wcare with postpartum moth- babies from households. Also, creating tually be a soothing tool, as most babies ers, I run through a list of pertinent the baby “pillow fortress” is too risky, want more nonnutritive sucking than advice that I have developed over the as I recently explained to my daughters, the typical 7 to 10 minutes they get per years. The clinician may find the entire both of whom were new mothers. Like- feeding. Pacifiers sure make life easier article of my essential tips helpful to use wise, I would advise to never leave a if you have a temperamental baby (per- or distribute in their own practice. baby alone high up on a changing table, sonal experience). Early pacifier use bed, sofa, etc., at any age. may reduce the risk for SIDS and likely TIPS FOR MOMS OF NEWBORNS To help condition your baby, lay her improves rates of breast-feeding.1 ‘Back’ to Sleep/Preventing Crib Death down while she’s still partially awake. A newborn should sleep on his back Breast-feeding only; no side or prone sleeping. Never Breast-feeding is the best for your let your baby sleep in your bed, espe- Bottle-fed and breast-fed baby, but pace yourself — too much too cially during the first 4 months of life babies only require small soon can create unnecessary discomfort. -
Your 2 Week Infant
YOUR 2 WEEK INFANT For any fever over 100.5 your baby needs to be examined and may need to have blood and urine evaluated for infection. Other signs of infection might be: If your baby is lethargic, less responsive than usual, or floppy when you hold her, If your baby is very irritable and you cannot console him, If your baby refuses to eat or has no wet diapers in 24 hours. If any of these occur or if you discover your baby has a temperature, rectally or under the arm, higher than 100.5 degrees, call our office right away. Your baby should have NO Tylenol, Motrin, or any other pain reliever in the first two months of life so as not to mask any fever. Keep your baby away from large groups of people and small children in which there is a risk someone may be sick and transmit an infection to your infant. Ask family members to wash their hands before holding your baby. Back to sleep. Your baby should sleep on his back to help protect him from Sudden Infant Death Syndrome (SIDS). You can also protect your baby by not smoking around him. Be sure to give your baby tummy time for at least 15-20 minutes while he is awake to work on developmental skills and build strong back muscles. Your baby should ride in a carseat each time she is in a motor vehicle. The carseat should face the back of the car until the baby is one year old and reaches 20 pounds. -
Dev Two Month JT W SB Edits 9 7 10
Two-Month Visit Issue | Date Congratulations, your baby is two months old! This is an exciting time as your baby starts to become more interactive. Safety Tips Feeding and Nutrition • Your baby may start • Babies at this age are still • Don’t use a microwave to heat rolling over anytime in feeding every 2-4 hours but you formula or breast milk. the next few months. may find your baby sleeping in Never leave your baby • Thaw frozen breast milk in the unattended on the bed, longer stretches (3-5 hrs) at fridge and use within 24 hours. night and therefore taking more couch or changing table. Fresh breast milk can be feeds during the day. • • Your baby’s car seat stored: • Only give your baby breast should remain in the o fresh at room temperature back seat facing the milk or formula. Babies should (66-72°F) for 4-6 hours delay starting all other foods rear window. Never o in a fridge (39°F or less) for (including water) until 4-6 leave your baby alone up to 3 days months. Never give a baby in a car even for a few honey. o in a freezer attached to a minutes. fridge for up to 3 months • If your baby is breastfed • Have a smoke detector • Store milk in 2-4 ounce amounts exclusively or taking less than on every floor of your to reduce waste. 32 oz of formula/day, he should house. be taking a Vitamin D • Be careful not to leave supplement (400 IU/day). -
A New Insight on Atopic Skin Diathesis: Is It Correlated with the Severity of Melasma
A New Insight on Atopic Skin Diathesis: Is It Correlated with the Severity of Melasma Danar Wicaksono1*, Rima Mustafa2, Sri Awalia Febriana1, Kristiana Etnawati1 1 Dermatovenereology Department, Faculty of Medicine Universitas Gadjah Mada – Dr. Sardjito General Hospital, Yogyakarta-Indonesia 2 Clinical Epidemiology and Biostatistics Unit, Faculty of Medicine Universitas Gadjah Mada –Dr. Sardjito General Hospital, Yogyakarta-Indonesia Keywords: Melasma, atopic skin diathesis (ASD), MASI score, atopic dermatitis (AD) Abstract: Melasma is a macular lesion of light brown to dark on the sun-exposed area, especially on the face. Atopic Skin Diathesis (ASD) is a clinical term to describe skin atopics with previous, present or future atopic dermatitis (AD). Dennie-Morgan infraorbital folds are secondary creases in the skin below the lower eyelids with a sensitivity of 78% and a specificity of 76% to diagnose AD. Melasma skin is characterized by impaired stratum corneum integrity and a delayed barrier recovery rate. Barrier dysfunction will stimulate keratinocyte to secrete keratinocyte-derived factor, which plays role in skin pigmentation process in melasma. To analyze correlation between ASD and Melasma Area Severity Index (MASI) score in melasma patient. This study is an observational analytic study with cross sectional design. Measurement of ASD and MASI score were done in 60 subjects with melasma who went to dermatology outpatient clinic Dr. Sardjito General Hospital from July 2017 to Januari 2018. The correlation between ASD and MASI score was analyzed using Pearson correlation. The result of this study showed no significant correlation between ASD and MASI scores (r: 0.02, p: 0,85). Crude Relative Risk (RR) for Dennie-Morgan infraorbital folds and MASI score was 4 (1.01-15.87). -
What's the Best Treatment for Cradle Cap?
From the CLINIcAL InQUiRiES Family Physicians Inquiries Network Ryan C. Sheffield, MD, Paul Crawford, MD What’s the best treatment Eglin Air Force Base Family Medicine Residency, Eglin Air for cradle cap? Force Base, Fla Sarah Towner Wright, MLS University of North Carolina at Chapel Hill Evidence-based answer Ketoconazole (Nizoral) shampoo appears corticosteroids to severe cases because to be a safe and efficacious treatment of possible systemic absorption (SOR: C). for infants with cradle cap (strength of Overnight application of emollients followed recommendation [SOR]: C, consensus, by gentle brushing and washing with usual practice, opinion, disease-oriented baby shampoo helps to remove the scale evidence, and case series). Limit topical associated with cradle cap (SOR: C). ® Dowden Health Media Clinical commentary ICopyrightf parents can’t leave it be, recommend brush to loosen the scale. Although mineral oil andFor a brush personal to loosen scale use noonly evidence supports this, it seems safe Cradle cap is distressing to parents. They and is somewhat effective. want everyone else to see how gorgeous This review makes me feel more FAST TRACK their new baby is, and cradle cap can make comfortable with recommending ketocon- their beautiful little one look scruffy. My azole shampoo when mineral oil proves If parents need standard therapy has been to stress to the insufficient. For resistant cases, a cute hat to do something, parents that it isn’t a problem for the baby. can work wonders. If the parents still want to do something -
Arnot Health Pregnancy Guide
ARNOT HEALTH PREGNANCY GUIDE REV. 11/2020 ArnotHealth --- It's what we do Table of Contents Welcome! ............................................................................................................................................................................ 4 Obstetrics Team ............................................................. ... ................................................. .............................................. 6 Resource List. ............................................................... ..................................................................................................... 7 Reading List. ...................................................................................................................................................................... 8 Welcome to the Fi rst Trimester .................................................................................................................................. 9 Taking Care of Yourself While You Are Pregnant... ............................................................................................ 12 Healthy Eating During Pregnancy ...........................................................................................................................13 Medications During Pregnancy ................................................................................................ ........ ........................ 27 Avoiding Keepsake lmages ........................ ..... ...........................................................................................................31 -
Bfn How Safe Is?...Alcohol, Smoking, Medicines and Breastfeeding
Alcohol Patient Information Leaflets You do not have to miss out on drinking alcohol whilst you Many patient information leaflets within packets of tablets say “do are breastfeeding even though it passes quite freely into your not take if you are breastfeeding”. This does not necessarily mean breastmilk. There is no evidence that having an occasional drink that they will be harmful to your baby, just that the manufacturer will harm your baby. Alcohol levels are highest about 30-90 has not conducted any trials. Governmental regulations allow them minutes after drinking so you may want to try to restrict your to opt out of taking responsibility for use during breastfeeding. drinking until after your baby has fed. Never put yourself in a If you are concerned please check the Drug Information Factsheets situation where you may fall asleep with your baby (on a bed, section of our website: www.breastfeedingnetwork.org.uk chair or settee) if you have been drinking. If you have had lots or call the Drugs in Breastmilk Helpline to check: to drink (binge drinking) ask someone else to care for 0844 412 4665. your baby as alcohol affects your ability to care safely for your baby, no matter how you are feeding. If you If someone tells you that you can’t continue to pass out or vomit from too much alcohol don’t breastfeed if you have to take a medicine, or breastfeed until the following morning. You do not for any other reason, ask for help. It may not need to express to clear your milk of alcohol as it passes back into your bloodstream as your own blood levels fall. -
You and Your Baby Save Time! Please Visit the Forms Sections of Our Website to Print and Complete the New Patient Forms Needed for Your Baby’S fi Rst Visit
John John M. M. Tedeschi, Tedeschi, MD, MD, FAAP FAAP JulieJason C. S.Ayres, Weber, MD, MD, FAAP FAAP ReyRey Velasco, Velasco, MD, MD, FAAP FAAP JasonCarolyn S. Weber,H. Weber, MD, MD, FAAP FAAP JohnJohn B. B. Tedeschi, Tedeschi, MD, MD, FAAP FAAP CarolynCyriac George,H. Weber, DO, MD, FAAP FAAP ParisaParisa Razi, Razi, MD, MD, FAAP FAAP PetePete Georgelos, Georgelos, MD, MD, FAAP FAAP MelissaMelissa S. S. Chase, Chase, DO, DO, FAAP FAAP CarolinePuneet Tung,Kabel-Kotler, DO, FAAP DO, FAAP Julie C. Ayres, MD, FAAP You and Your Baby Save Time! Please visit the Forms sections of our website to print and complete the New Patient Forms needed for your baby’s fi rst visit. advocaresjp.com INDEX Bathing your baby ....................... 5 Fever: Cleaning the eyes & ears .... 5 Care of the child ......................8 Shampooing the head ......... 5 Taking a temperature ..............8 Bowels ........................................ 9 Medications - Do’s and Don’ts .......6 Breasts ....................................... 6 How to give tablets ................6 Burping ....................................... 12 eye drops ..........6 Car Seats .................................... 7 ear drops .............6 Circumcision Care ...................... 5 When to give ...........................6 Clothing ...................................... 6 Navel Care .....................................5 Colic ............................................ 11 Nail Clipping ..................................5 Constipation ................................ 10 Over-The-Counter -
Paediatrics at a Glance
Paediatrics at a Glance Lawrence Miall Mary Rudolf Malcolm Levene Blackwell Science Paediatrics at a Glance This book is dedicated to our children Charlie, Mollie, Rosie Aaron, Rebecca Alysa, Katie, Ilana, Hannah, David and all those children who enlightened and enlivened us during our working lives. Paediatrics at a Glance LAWRENCE MIALL MB BS, BSc, MMedSc, MRCP, FRCPCH Consultant Neonatologist and Honorary Senior Lecturer Neonatal Intensive Care Unit St James’s University Hospital Leeds MARY RUDOLF MB BS BSc DCH FRCPCH FAAP Consultant Paeditrician in Community Child Health Leeds Community Children’s Services Belmont House Leeds MALCOLM LEVENE MD FRCP FRCPCH FMedSc Professor of Paediatrics School of Medicine Leeds General Infirmary Leeds Blackwell Science © 2003 by Blackwell Science Ltd a Blackwell Publishing company Blackwell Science, Inc., 350 Main Street, Malden, Massachusetts 02148-5018, USA Blackwell Science Ltd, Osney Mead, Oxford OX2 0EL, UK Blackwell Science Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia Blackwell Wissenschafts Verlag, Kurfürstendamm 57, 10707 Berlin, Germany The right of the Authors to be identified as the Authors of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. First published 2003 Library of Congress Cataloging-in-Publication Data Miall, Lawrence. Paediatrics at a glance/Lawrence Miall, Mary Rudolf, Malcolm Levene. -
PE2342 Seborrheic Dermatitis
Seborrheic Dermatitis What is seborrheic Seborrheic dermatitis is a common skin condition. It causes redness, dermatitis? scaling, or flaky patches in infants, teens and adults. What parts of the • Scalp (this is known as dandruff, or cradle cap in infants) body are usually • Eyebrows affected? • Eyelids • Ears • Nose • Skin fold areas (such as armpits or thighs) What causes The cause of seborrheic dermatitis is not known. Some believe that it is seborrheic caused by an overgrowth of yeast. It is not related to what you eat and it is dermatitis? not contagious. Stress and sickness often make seborrheic dermatitis symptoms worse, but they do not cause it. Symptoms can get better or worse for no reason. What are the Symptoms include: symptoms of • Redness seborrheic • Itching dermatitis? • Scaly patches on your skin that may look greasy or oily • Scales or flakes on the head or in the hair • Crusty yellow flakes on the eyelids or eyelashes What are the There is no cure for seborrheic dermatitis, but there are ways to keep it treatment options? under control. Treatment options for seborrheic dermatitis depend on what part of the body is showing symptoms. Skin Seborrheic dermatitis of the skin can usually be controlled by putting on steroid or antifungal creams to the skin (topical). These medicines help with the redness and itching of your child’s skin. Check with your child’s healthcare provider before giving your child any type of topical medicine. They will help you determine which treatment option would be best. 1 of 2 To Learn More Free Interpreter Services • Dermatology • In the hospital, ask your nurse. -
Pediatric Dermatology[1].Pptx
8/29/14 Pediatric Dermatology Overview - From Head to Toe Joanna Guenther, PhD, RN, FNP-BC, CNE September 2014 Objecves • Discuss a systemac approach to common dermatologic condiMons of children encountered in primary care. • Describe the clinical manifestaons of common dermatologic condiMons of children. • Review therapeuMc and pharmacologic treatments for each dermatologic condiMon. History Taking • Age, race, and sex • Onset/duraon • Locaon on body • Evoluon of lesions • Treatment aempted • Associated symptoms – Pruritus, fever, headache, GI, etc – Think infecMon with rash + fever 1 8/29/14 AddiMonal Aspects of History • Family history • Known personal contacts • Trauma • Travel & play • Environmental exposure – Insects, plants, toxins, sun, etc • Season Primary Skin Lesions Atopic DermaMs Eczema Treatment: • Inherited predisposiMon - • Rehydraon of skin, oen hx. Asthma, allergic anMhistamines, topical low rhiniMs, food allergies potency steroid creams, • Usually affects cheeks, face, Elidel or Protopic cream bid trunk, extremiMes • Erythematous papules to scaly plaques • Intense pruritus >> scratching >> risk of impego 2 8/29/14 Seborrheic DermaMs Cradle Cap Treatment: • Common during first several • Emollient – baby oil months of life • Baby shampoo + soZ brush • OZen on face & scalp, but can extend to other areas • Well circumscribed plaques with scaling • Resolves by 6-12 months ImpeMgo Characteriscs: Treatment: • InfecMon usually caused by • Bactroban (mupirocin) oint d X 7 days; Altabax oint bid X 5 days + staph aureus; contagious