So today was my case presentation in Paediatric postings and seeing how I come up with a blogpost during the course of every clinical posting, here is a low down on today.
Basically I was assigned a neonatal case and we (Likitha, Ankitha and I) began by taking the history from the mother. The baby was born preterm at 36w 1 day and was in the NICU for about 18hr since delivery. After the routine history taking and details about the family and socio economic status, we proceeded to examine the baby.
A cuddly mass of pink, the baby was bundled in layers of clothing which we slowly uncovered until I placed my steth on the bare chest of the little one and there it was; the crystal clear beating of the heart at about 140bpm. I think it was the first time I heard the heart sounds of a newborn and I realized how I should do this more often. After finding the other vitals to be normal, we measured the head circumference, chest circumference, length and weight of the baby and based on the centiles it falls between, it was termed as an 'Appropriate for Gestational Age' baby.
After this we did the Head to Toe Examination of the baby and then we did elicited the neonatal reflexes. Some of them include the Glabellar Tap where a tap on the glabella with a finger causes the baby to blink, Rooting reflex where we touch either side of the mouth and the baby turns to the same side and opens its mouth (in anticipation of feed) and Morro's reflex (where a sudden drop in the level of the head by about 30°causes the baby to extend both its arms with flexion at the elbow and extension at the lower limbs.
The case presentation went without major glitches (thanks to L and A) and we found a 20 day old baby girl in the OPD to demonstrate the reflexes in front of Sir. Although the little one was crying, we managed to intermittently examine the baby.
I don't know if this is just me but Bayboos make me grin from ear to ear, fill me with happiness so much so that I can almost sense the oxytocin surge. The way they regard you intently as you hold them in your arms, the way they blindly grasp your finger in their soft little hand and their incessant cries in soft voices for the next feed are all the more reasons why you would want to play with these angels at all times.
Now that I'm done with the case presentation, the record dilemma awaits me and I hope I shall be done with them given that the Dilli trip is also coming up.
On an unrelated note, it is sometimes amazing to note the diversity of the world we live in. Although we pride ourselves to 'stand out'/'one in a billion', isn't it ironic that we seek out similarities when we fraternise?
We look at the intersection of the Venn Diagram and think, "Oh hey, that's something in common!". We, as humans, like patterns and familiarity and anything that we can resonate with becomes something we value. But what we forget is that the intersection is NOT the whole. Beyond the similarities lie a world of differences that make us so wonderfully unique. And these differences can sometimes make the intersections pale in comparison.
Here's an update on my playlist which is indeed a long long overdue. Current favourites include:
Basically I was assigned a neonatal case and we (Likitha, Ankitha and I) began by taking the history from the mother. The baby was born preterm at 36w 1 day and was in the NICU for about 18hr since delivery. After the routine history taking and details about the family and socio economic status, we proceeded to examine the baby.
A cuddly mass of pink, the baby was bundled in layers of clothing which we slowly uncovered until I placed my steth on the bare chest of the little one and there it was; the crystal clear beating of the heart at about 140bpm. I think it was the first time I heard the heart sounds of a newborn and I realized how I should do this more often. After finding the other vitals to be normal, we measured the head circumference, chest circumference, length and weight of the baby and based on the centiles it falls between, it was termed as an 'Appropriate for Gestational Age' baby.
After this we did the Head to Toe Examination of the baby and then we did elicited the neonatal reflexes. Some of them include the Glabellar Tap where a tap on the glabella with a finger causes the baby to blink, Rooting reflex where we touch either side of the mouth and the baby turns to the same side and opens its mouth (in anticipation of feed) and Morro's reflex (where a sudden drop in the level of the head by about 30°causes the baby to extend both its arms with flexion at the elbow and extension at the lower limbs.
The case presentation went without major glitches (thanks to L and A) and we found a 20 day old baby girl in the OPD to demonstrate the reflexes in front of Sir. Although the little one was crying, we managed to intermittently examine the baby.
I don't know if this is just me but Bayboos make me grin from ear to ear, fill me with happiness so much so that I can almost sense the oxytocin surge. The way they regard you intently as you hold them in your arms, the way they blindly grasp your finger in their soft little hand and their incessant cries in soft voices for the next feed are all the more reasons why you would want to play with these angels at all times.
Now that I'm done with the case presentation, the record dilemma awaits me and I hope I shall be done with them given that the Dilli trip is also coming up.
On an unrelated note, it is sometimes amazing to note the diversity of the world we live in. Although we pride ourselves to 'stand out'/'one in a billion', isn't it ironic that we seek out similarities when we fraternise?
We look at the intersection of the Venn Diagram and think, "Oh hey, that's something in common!". We, as humans, like patterns and familiarity and anything that we can resonate with becomes something we value. But what we forget is that the intersection is NOT the whole. Beyond the similarities lie a world of differences that make us so wonderfully unique. And these differences can sometimes make the intersections pale in comparison.
Here's an update on my playlist which is indeed a long long overdue. Current favourites include:
- Good Life (From FF8)
- Bad Liar (Selena)
- Strip that down (Liam Payne)
- Thunder (Imagine Dragons)
- Ijazat (Arijit Singh)
- Roke Na Ruke Naina
- Pal Bhar (Chahunga reprise)
- Baarish (Half Girlfriend)
- And I shall not put in Despacito like everyone else because thats probably one of the few decipherable words of the song :')
- Beauty and the Beast (with Di)
- Bahubali 2
- Hacksaw Ridge
- Psycho (a must watch thriller from the 1960s)
- Forrest Gump
That's all for now! Cya later :)
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