Polycythemia in newborns
Definition: Venous hematocrit of 65%
Clinical manifestations:
Ruddy, plethoric skin.
CNS - Lethargy, hypotonia, tremulousness, irritability.
Seizures.
Hypoglycemia, hypocalcemia, hyperbilirubinemia.
GI - Vomiting, distension, NEC.
Kidney - Renal vein thrombosis, acute renal failure.
Cardiopulmonary - Respiratory distress syndrome, congestive heart failure.
Treatment: Partial exchange transfusion.
That's all!
Remember the association with infants of diabetic mothers.
-IkaN
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