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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The normal newborn exam, or is it?
Merlin C Lowe1, Dale P Woolridge
1Department of Pediatrics, The University of Arizona, 1501 North Campbell Avenue, Tucson, AZ 85724-5073, USA.
Insights
Accurate infant screening relies on thorough physical exams, identifying subtle health issues early. Diligent physician examination is crucial for preventing long-term childhood health problems.
Area of Science:
- Pediatrics
- Neonatal Medicine
- Clinical Examination
Background:
- Infant illness screening heavily depends on physical examination despite technological advances.
- Understanding normal findings and variants is as critical as recognizing abnormalities in infant assessment.
Purpose of the Study:
- To emphasize the importance of diligent physical examination in infant screening.
- To aid physicians in accurate and timely diagnosis of subtle pediatric health issues.
Main Methods:
- Review of current practices in infant physical examinations.
- Highlighting key normal findings and their variants in healthy infants.
- Discussing subtle signs indicative of potential future health problems.
Main Results:
- The majority of infants are healthy, with subtle, infrequent findings predicting future issues.
- Devastating outcomes can occur if subtle signs are missed during screening.
- Physician diligence is paramount in identifying at-risk infants.
Conclusions:
- Accurate and timely diagnosis through thorough infant screening can prevent or minimize long-term health problems.
- Physicians must possess comprehensive knowledge of both normal and abnormal findings in infant examinations.
- This article aims to enhance physician skills in infant screening for improved pediatric outcomes.
Abstract:
Despite the broad technologic advancements of medicine, screening for illness in infants is highly reliant on a complete physical exam. For this reason it is critical that the examining physician not only have a thorough understanding of abnormal findings but also the normal findings and their variants. The vast majority of infants are healthy and findings predictive of future health problems are subtle and infrequent. Yet, outcomes can be devastating. Therefore it is critical the physician remain diligent when screening for these. It is our hope that this article will assist you in this task and allow for more accurate and timely diagnosis that prevents or minimizes long-term health problems in children.
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