the main
about the project
Medicine news
To authors
Licensed books on medicine
<< Ahead Next >>

THEME. PATHOLOGY PERINATAL PERIOD. FAILURE, FORCEDNESS. BIRTH INJURY. HEMOLYTIC DISEASE OF THE NEWBORN (for the pediatric faculty)



Motivational characteristics of the topic. Knowledge of the topic materials is necessary for successful mastering them in the departments of the clinical cycle. In the practical work of a pediatrician is necessary for the clinical and anatomical analysis of sectional observations.

The overall goal of the lesson. Based on the knowledge of the morphological manifestations of diseases and syndromes of the perinatal period pathology, learn to recognize and carry out their differential diagnosis.

Specific objectives of the lesson

The student should know:

• signs of prematurity and postmaturity;

• causes and signs of asphyxia of the fetus and newborn;

• forms and morphological manifestations of pneumopathy of the newborn;

• causes and factors causing birth trauma;

• cause, pathogenesis and morphological manifestations of hemolytic disease of the newborn;

The student should be able to:

• based on the knowledge of morphological manifestations, diagnose and differentiate diseases and syndromes of the perinatal period;

• assess the causes and mechanisms of development of the pathology of the perinatal period, and determine their functional significance for the body of the fetus and newborn.

MAJOR QUESTIONS

1. Prematurity and aging, the definition of concepts, signs.

2. Asphyxia of the fetus and newborn, definition of the concept, causes at various stages of the perinatal period.

3. Morphological manifestations of asphyxia.

4. Pneumopathy. Definition of the concept, morphology of forms of pneumopathy.

5. Birth injury, the definition of the concept, factors affecting the degree of damage to the fetus.

6
Characteristics of the most common birth injuries: head injuries, spinal cord injuries and damage to internal organs.

7. Hemolytic disease of the newborn, definition, etiology and pathogenesis.

8. Morphological characteristics of hemolytic disease of newborns.

9. Definition and risk factors of sudden infant death syndrome.

EQUIPMENT

Macrodrugs: 1. Cephalhematoma. 2. Hemorrhage in the adrenal gland. Micropreparation s:

1. Hyaline membranes in the lungs - №179 (hematoxylin and eosin stain).

2. Adrenal hemorrhage - No. 167 (stained with hematoxylin and eosin).

3. Liver in hemolytic disease of the newborn - №165 (stained with hematoxylin and eosin).

4. Aspiration bronchopneumonia - 166 (stained with hematoxylin and eosin).

Tables 1. Hyaline membranes in the lungs. 2. Birth injury. 3. Hemolytic disease of the newborn. 4. Damage during delivery. 5. Cefalohematoma. 6. Localization of damage due to birth injury.

PLAN AND TIMING

1. Introduction - 5 minutes.

2. Determination of the initial level of knowledge - 15 minutes.

3. Explanations of the teacher - 10 minutes.

4. Independent work of students - 100 minutes.

5. Determination of the final level of knowledge - 15 minutes.

6. Reception of workbooks (albums) - 30 minutes.

7. The conclusion of the teacher - 5 minutes.

<< Ahead Next >>
= Go to tutorial content =

THEME. PATHOLOGY PERINATAL PERIOD. FAILURE, FORCEDNESS. BIRTH INJURY. HEMOLYTIC DISEASE OF THE NEWBORN (for the pediatric faculty)

  1. Perinatal pathology, prematurity, postmaturity. Birth injury. Hemolytic disease of the newborn. Intrauterine infections: cytomegaly, toxoplasmosis, herpes.
    1. The perinatal period is the period 1. from 12 weeks to 40 weeks of gestation 2. from 22 weeks to 40 weeks 3. from 18 weeks to 5 days after the birth of a child 4. from 22 weeks to 7 days after the birth of a child 2. Create a correspondence: FORM OF HEMOLYTIC DISEASE SIGNS 1. fetopathy without edema and jaundice a) in the liver and spleen erythroblastosis 2. edematous b) pathological immaturity of the placenta 3.
  2. SESSION 17 THEME. INFECTIOUS DISEASES OF THE PERINATAL AND NEONATAL PERIODS. DEVELOPMENTAL FAULTS (for the pediatric faculty)
    Motivational characteristics of the topic. Knowledge of the pathological anatomy of infectious diseases of the perinatal and neonatal periods is necessary for successful mastering of this pathology in clinical departments. In the practice of a pediatrician, this knowledge is necessary for conducting a clinical-anatomical analysis of autopsy results. The overall goal of the lesson. Based on the knowledge gained, learn
  3. DISEASES OF THE PERINATAL PERIOD. GESTATION AGE AND FETUS MASS. INTRAINTEGRATED HYPOXIA. BIRTH INJURY. GENERIC DAMAGES OF HYPOXIC GENESIS. PULMONARY DISEASES OF THE PERINATAL PERIOD. CONGENITAL DEVELOPMENTAL DISEASES. INTRAUTERNAL INFECTIONS. HEMOLYTIC DISEASE OF NEWBORNS
    The perinatal period of development is the period from the 22nd full week of intrauterine fetal life to 7 full days after the birth of a child. The gestational age of the fetus is determined by the duration of pregnancy. The duration of pregnancy is measured from the first day of the last normal menstruation. The average duration of pregnancy is 280 days (40 weeks). Full-term is considered a child born
  4. Organization and principles of activities of the post (post) resuscitation and intensive care of newborns in the structure of the pediatric hospital (perinatal center)
    ORITN is a structural subdivision of perinatal centers, specialized maternity hospitals and large (more than 2500 births per year) obstetric hospitals, pediatric hospitals with branches of pathology of newborns and premature babies and / or surgery of newborns. The main objectives of the ICU are: • providing highly skilled care for newborns who require the maintenance of vital
  5. Toolkit. Pathology tests for medical and pediatric faculties, 2011

  6. Pathogenesis of perinatal traumatic damage to the nervous system. Birth injury and cerebral palsy
    Mechanical trauma of the fetal head, as a rule, is accompanied by a violation of cerebral circulation, hemorrhage in the brain. Most often, hemorrhage occurs due to rupture of the sagittal or transverse sinus, which in most cases causes the death of the fetus. In subarachnoid hemorrhage or hemorrhage as a result of rupture of small vessels of the brain, or, finally, per diapedesum
  7. Asphyxia of the fetus and newborn. Intracranial birth injury
    style = "background-color: #ffffff;"> Asphyxia (asphyxia, Greek — no pulse) — an acute or subacute morbid condition characterized by impaired gas exchange (hypoxia and hypercapnia) and the functions of organs and systems of the fetus or newborn. The problem of this condition has not been resolved, despite the emergence of new methods of diagnosis and treatment. According to domestic and foreign authors,
  8. Hemolytic disease of the newborn.
    Hemolytic disease of the newborn (erythroblastosis) is caused by an immunological conflict between the mother and the fetus due to incompatibility of erythrocyte antigens. Hemolytic disease occurs in approximately 0.5% of newborns. Hemolytic disease develops if the fetus inherits from the father erythrocyte antigens that are absent in the maternal organism. More often
  9. Hemolytic disease of the fetus and newborn
    SYNONYMS Erythroblastosis of the fetus and newborn. DETERMINATION HDN - isoimmune hemolytic anemia that occurs in cases of incompatibility of the blood of the mother and the fetus on the erythrocyte Ag, while the Ag is localized on the erythrocytes of the fetus, and the antibodies on them are produced in the mother's body. CODE ICD-R55 Hemolytic disease of the fetus and newborn. P55.0 Rhesus-isoimmunization of the fetus and newborn. Р55.1
  10. Hemolytic disease of the newborn
    Hemolytic disease of the newborn (erythroblastosis) is caused by an immunological conflict between the mother and the fetus due to incompatibility of erythrocyte antigens, which is associated with the development of hemolytic anemia and jaundice. Hemolytic disease occurs in approximately 0.5% of newborns. Although there are more than 60 erythrocyte antigen systems, most often hemolytic disease
  11. HEMOLYTIC DISEASE OF NEWBORNS
    REASONS AND MECHANISM OF DEVELOPMENT Hemolytic disease of the newborn - a disease caused by an immunological conflict due to the incompatibility of the blood of the fetus and the mother on erythrocyte antigens. Hemolytic disease of the newborn is diagnosed in approximately 0.6% of all newborns. HDN usually causes the incompatibility of the fetus and mother for Rh or AB0 antigens. Incompatibility by
  12. Hemolytic disease of the newborn
    Hemolytic disease of the newborn (HDN) is one of the urgent problems of modern obstetrics and neonatology. Currently, fetal death and death of newborns due to hemolytic disease, and their disability as a result of irreversible processes of the central nervous system are often noted. According to the WHO, the incidence of HDN is at least 5 per 1000 births, and more than 60-70% of newborns need
  13. Diseases of the lung perinatal period.
    Neonatal respiratory distress syndrome includes a group of non-infectious lung diseases developing in the perinatal period. These diseases are also often referred to as neonatal pneumopathies, or respiratory distress syndrome. The leading link in the pathogenesis of the syndrome of respiratory disorder is a deficiency of surfactant, which begins to be synthesized in the lungs of the fetus
  14. Diseases of the lung perinatal period
    The term “pneumopathies” includes diseases of the lung of a non-infectious nature, acquired in the perinatal period: primary atelectasis, hyaline membrane disease, edematous hemorrhagic syndrome, meconium aspiration syndrome and a number of other diseases of the newborn. Clinically, pneumopathies manifest themselves in tachypnea, contraction of “compliant” places of the chest, cyanosis. This group of diseases is called
  15. HEMOLYTIC DISEASE OF NEWBORNS (FEROD ERYTHROPLASTOSIS)
    Unlike physiological jaundice of newborns (icterus neonatorum simplex), characteristic of the overwhelming majority (80–90%) of newborns and giving a good prognosis, the pathological form, also known as “icterus neonatorum guavis,” is characterized exclusively by the severity of the course and, as a rule, ends with the death of a child. Etiology and pathogenesis. Origin
  16. Hemolytic disease of the newborn
    Hemolytic disease develops due to isoimmunization caused by the incompatibility of the blood of the mother and fetus. In 80–85% of cases, the cause of the disease is isoimmunization by the Rh factor, and in 20–15% by the ABO system. Anemic, icteric and edematous forms of the disease are distinguished. The anemic form from the first hours of life is manifested by pallor of the skin, hypodynamia, an increase in the liver and
  17. Hemolytic disease of the fetus and newborn
    Changes in the body of the fetus with hemolytic disease Hyperbilirubinemia has no significant effect on the condition of the fetus, since the mother’s liver takes over the function of neutralizing the resulting bilirubin. Hyperbilirubinemia is dangerous for the newborn. According to the autopsy of fetuses that died from hemolytic disease, a characteristic dropsy is observed with abdominal distension and severe
  18. SESSION 9 THEME. PATHOLOGY OF PREGNANCY AND POSTBIRTH PERIOD. Maternal mortality
    Motivational characteristics of the topic Knowledge of the morphological manifestations of the pathology of pregnancy and the postpartum period is necessary for the successful mastery of obstetric pathology at the Department of Obstetrics and Gynecology. In the practice of a doctor, this knowledge is necessary for the clinical and anatomical analysis of sectional observations and the comparison of clinical manifestations with the results of a biopsy study.
  19. Pathology of childbirth and the postpartum period
    Weak contractions and attempts Weak contractions and attempts are characterized by short duration and insufficient intensity of contractions of the uterus muscles, and weak attempts are characterized by abdominal muscles. Primary weak attempts are when the contractions of the abdominal muscles of the uterus are insufficient both at the beginning and at subsequent stages of labor. Secondary weak contractions and attempts occur at
Medical portal "MedguideBook" © 2014-2016
info@medicine-guidebook.com