Diferencia entre revisiones de «Omphalitis»
| Línea 18: | Línea 18: | ||
*CBC, BMP | *CBC, BMP | ||
*blood cultures | *blood cultures | ||
*septic workup if febrile neonate (UA, CXR, LP) | *septic workup if febrile neonate ([[UA]], [[CXR]], [[LP]]) | ||
*imaging (ultrasound or CT) | *imaging (ultrasound or CT) as indicated | ||
==Management== | ==Management== | ||
Revisión del 10:24 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