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Bossing - ANS ✓-Fullness of the frontal area-Bulging of the newborn skull, in the frontal areas associated with prematurity or rickets - Cephalhematoma - ANS ✓-Does not cross suture lines -A deep collection of blood in the subperiosteal area of the scalp -The swelling appears hours to days after delivery -No treatment is indicated because of the condition resolving in a few weeks to months -Monitor for hyperbilirubinemia Macrocephaly - ANS ✓-Evaluate with CT of the head -Referral to a neurology provider should be made for diagnostic purposes and a brain MRI should be done as a baseline at some point Plagiocephaly - ANS ✓-Flattening or asymmetry of the head -Risk - sleeping supine -Education - tummy time 30-60 minutes/day; alternative babies head position, helmet 23 hrs/day for 4-6 months when repositioning and helmets are not successful
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Bossing - ANS ✓-Fullness of the frontal area-Bulging of the newborn skull, in the frontal areas associated with prematurity or rickets
Cephalhematoma - ANS ✓-Does not cross suture lines
compresses 3-4 times a day, 10-15 minutes each time, hygiene for the eye with a cotton-tipped applicator or clean washcloth with no-tears shampoo once or twice a day; antistaphylococcal ointment; no steroids
Community acquired pneumonia - ANS ✓-Drug of choice - Azithromycin 10 mg/kg/day once on day 1 and then 5 mg/kg/day for the next 4 days Appendicitis - ANS ✓-Inflammation of the appendix the leads to distention and ischemia that can result in necrosis, perforation, and peritonitis or abscess formation
Celiac disease - ANS ✓-An immune-mediated systemic disorder triggered by wheat gluten and related proteins in barley and rye