Diferencia entre revisiones de «Omphalitis»
(Text replacement - "==Diagnosis==" to "==Evaluation==") |
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| Línea 12: | Línea 12: | ||
*[[Necrotizing fasciitis]] | *[[Necrotizing fasciitis]] | ||
*[[Neonatal sepsis]] | *[[Neonatal sepsis]] | ||
{{Neonatal rashes DDX}} | |||
==Evaluation== | ==Evaluation== | ||
Revisión del 09:42 19 dic 2016
Background
- acute infection of umbilical stump
- rare
Clinical Features
- erythema of skin around umbilical stump
- purulent drainage
- fever
Differential Diagnosis
- Cellulitis of abdominal wall
- Necrotizing fasciitis
- Neonatal sepsis
Neonatal Rashes
- Acne
- Atopic dermatitis
- Candidiasis
- Contact dermatitis
- Diaper dermatitis
- Erythema toxicum neonatorum
- Impetigo
- Mastitis
- Milia
- Miliaria
- Mongolian spots
- Omphalitis
- Perianal streptococcal dermatitis
- Psoriasis
- Pustular melanosis
- Seborrheic dermatitis
- Sucking blisters
- Tinea capitis
Evaluation
- CBC, BMP
- blood cultures
- septic workup if febrile neonate (UA, CXR, LP)
- imaging (ultrasound or CT) as indicated
Management
- IV fluids NS 20mL/kg bolus if ill appearing
- Antibiotics
- Surgical consultation as indicated
Disposition
- Admit if febrile or ill appearing
- Consider discharge if very mild case and excellent follow-up assured
References
Harwood Nuss, EMedicine