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