PEDIATRICS

Hypothalamic-Pituitary-Adrenal Axis in Neonates

Sep 9, 2023 by in PEDIATRICS Comments Off on Hypothalamic-Pituitary-Adrenal Axis in Neonates

KEY POINTS 1. Normal hypothalamic-pituitary-adrenal (HPA) axis production of cortisol and a normal renin-angiotensin-aldosterone axis are needed for the normal regulation of volume status, blood pressure, and serum sodium, potassium…

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Late-Onset Sepsis

Sep 9, 2023 by in PEDIATRICS Comments Off on Late-Onset Sepsis

KEY POINTS 1. Late-onset sepsis in the neonatal intensive care unit is defined by culture-confirmed infection ≥72 hours after birth. 2. Incidence is highest among preterm infants. 3. The pathophysiology…

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Neonatal Nutrition Assessment

Sep 9, 2023 by in PEDIATRICS Comments Off on Neonatal Nutrition Assessment

KEY POINTS 1. All infants should be classified at birth with the use of appropriate anthropometric measurement techniques to determine risk status for complications such as hypoglycemia or catabolism. Growth…

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Neonatal Hypoglycemia

Sep 9, 2023 by in PEDIATRICS Comments Off on Neonatal Hypoglycemia

KEY POINTS 1. Hypoglycemia is frequently seen in premature and critically ill term infants. 2. Neonates are at risk of hypoglycemia in the early neonatal period because of the abrupt…

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Nutrition in Short Bowel Syndrome

Sep 9, 2023 by in PEDIATRICS Comments Off on Nutrition in Short Bowel Syndrome

KEY POINTS 1. Intestinal failure (IF) is defined as the loss of functional gut mass to levels below those needed for digestion and absorption of fluid and nutrients required to…

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Parenteral Nutrition in Neonates

Sep 9, 2023 by in PEDIATRICS Comments Off on Parenteral Nutrition in Neonates

KEY POINTS 1. Parenteral nutrition is a necessary component of the nutritional and medical management of the premature infant. 2. The fluid, macronutrient, and micronutrient requirements are unique to the…

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Neonatal Herpes Simplex Virus Infections

Sep 9, 2023 by in PEDIATRICS Comments Off on Neonatal Herpes Simplex Virus Infections

KEY POINTS 1. Neonatal herpes simplex virus (HSV) infections can cause potentially devastating infections in newborn infants. 2. HSV has a double-stranded linear DNA genome and is seen in two…

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Enteral Nutrition

Sep 9, 2023 by in PEDIATRICS Comments Off on Enteral Nutrition

KEY POINTS 1. The benefits of enteral nutrition for the preterm infant extend beyond growth and encompass gastrointestinal development and gut inflammatory balance. 2. Preterm infant intake of mother’s milk,…

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Neonatal Thyroid Disease

Sep 9, 2023 by in PEDIATRICS Comments Off on Neonatal Thyroid Disease

KEY POINTS 1. Thyroid hormone signaling is required for both normal fetal and pediatric development. 2. The identification of genes critical for thyroid gland development and migration and thyroid hormone…

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