Diferencia entre revisiones de «Omphalitis»
| Línea 1: | Línea 1: | ||
==Background== | ==Background== | ||
*acute infection of umbilical stump | *acute infection of umbilical stump | ||
*rare | *rare | ||
==Clinical Features== | ==Clinical Features== | ||
Revisión del 07:07 30 ago 2015
Background
- acute infection of umbilical stump
- rare
Clinical Features
- erythema of skin around umbilical stump
- purulent drainage
- fever
Differential Diagnosis
Diagnosis
- CBC, BMP
- blood cultures
- septic workup if febrile neonate (UA, CXR, LP)
- imaging (ultrasound or CT) as indicated
Treatment
- 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