Diferencia entre revisiones de «Omphalitis»
Sin resumen de edición |
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| Línea 2: | Línea 2: | ||
*acute infection of umbilical stump | *acute infection of umbilical stump | ||
*rare | *rare | ||
*can progress to severe cellulitis of | *can progress to severe [[cellulitis]] of abdominal wall, [[necrotizing fascitis]], [[sepsis]] | ||
==Clinical Features== | ==Clinical Features== | ||
*erythema of skin around umbilical stump | |||
*purulent drainage | |||
*fever | |||
== | ==Differential Diagnosis== | ||
==Diagnosis== | |||
*CBC, BMP | *CBC, BMP | ||
*blood cultures | *blood cultures | ||
| Línea 16: | Línea 18: | ||
==Treatment== | ==Treatment== | ||
*IV fluids NS 20mL/kg bolus if ill appearing | |||
*[[Antibiotics]] | |||
**[[Gentamycin]] | |||
**[[Ampicillin]] | |||
**[[Vancomycin]] | |||
*Surgical consultation as indicated | |||
==Disposition== | ==Disposition== | ||
*Admit if febrile or ill appearing | |||
*consider d/c if very mild case and excellent follow-up assured | |||
== | ==References== | ||
Harwood Nuss, EMedicine | Harwood Nuss, EMedicine | ||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:GI]] | [[Category:GI]] | ||
Revisión del 07:03 30 ago 2015
Background
- acute infection of umbilical stump
- rare
- can progress to severe cellulitis of abdominal wall, necrotizing fascitis, sepsis
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 d/c if very mild case and excellent follow-up assured
References
Harwood Nuss, EMedicine