Diferencia entre revisiones de «Omphalitis»
(Text replacement - "Category:Peds" to "Category:Pediatrics") |
(Text replacement - "== " to "==") |
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| Línea 27: | Línea 27: | ||
*Surgical consultation as indicated | *Surgical consultation as indicated | ||
==Disposition== | ==Disposition== | ||
*Admit if febrile or ill appearing | *Admit if febrile or ill appearing | ||
*Consider discharge if very mild case and excellent follow-up assured | *Consider discharge if very mild case and excellent follow-up assured | ||
Revisión del 01:03 7 jul 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
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