Diferencia entre revisiones de «Omphalitis»
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
*[[Cellulitis]] of abdominal wall | |||
*[[Necrotizing fasciitis]] | |||
*[[Neonatal sepsis]] | |||
==Diagnosis== | ==Diagnosis== | ||
Revisión del 07:08 30 ago 2015
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
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