Sample WriteUp of a Newborns History

High Blood Pressure Exercise Program

Natural Ways to Treat Hypertension

Get Instant Access

This 2830-g female infant was born at 38 2/7 weeks to a 47-year-old G1 P0-0-0-0 mother by NSVD (normal spontaneous vaginal delivery) at 1:35 am on 1/16/2008. The pregnancy was complicated by chronic hypertension, for which the mother was treated with Aldomet (methyldopa). The mother is O+ and hepatitis B surface antigen, syphilis, HIV, and Chlamydia negative. Amniocentesis at 14 weeks revealed a 47,XX trisomy 21 karyotype. The mother continued the pregnancy, despite the amniocentesis results, explaining that she ''wanted to know what I would be facing beforehand.'' At 36 weeks, a vaginal culture for group B streptococcus was negative. Mother went into labor at 38+ weeks;she developed malignant hypertension unresponsive to magnesium sulfate, so a C-section (cesarean section) was performed under general anesthesia after 17 hours of labor. Rupture of membranes was at delivery. The baby's Apgar scores were 5 and 8, with points off for tone, reflex, respiratory effort, and color at 1 minute. Baby was transferred to the NICU (neonatal intensive care unit) for observation for Down's syndrome and hypermagnesemia.


American Academy of Pediatrics: Task Force on Sudden Infant Death Syndrome. The changing concept of sudden infant death syndrome: Diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consider in reducing risk. Pediatrics 116:1245, 2005. Anderson RN, Smith BL: Deaths: Leading Causes for 2001. Natl Vital Stat Rep 52(9):1, 2003. Baron J, Rothrock S, Brennan J, et al: Pediatric Emergency Medicine. Philadelphia, Elsevier, 2008. Beckwith JB: Defining the sudden infant death syndrome. Arch Pediatr Adolesc Med 157:286, 2003.

Brown RT, Hewitt GD: Chronic pelvic pain and recurrent abdominal pain in female adolescents. Endocr Dev 7:213, 2004.

Centers for Disease Control and Prevention: Recommended immunization schedules for persons aged 0-18 years—United States, 2007. MMWR 55(51&52):Q1, 2006. Available at: mmwrhtml/mm5551a7.htm; accessed June 29, 2008.

Committee on Environmental Health, 1997-1998, American Academy of Pediatrics: Screening for elevated blood lead levels. Pediatrics 101:1072, 1998.

Coupey SM: Primary Care for the Sexually Active Adolescent Female. St. Louis, Mosby, 2000.

De Jonste JC, Shields MD: Chronic cough in children. Thorax 58:1715, 2003.

Dixon SD, Stein MT: Encounters with Children: Pediatric Behavior and Development, 3rd ed. St. Louis, Mosby, 2000.

Foster HE, Kay LJ, Friswell M, et al: Musculoskeletal Screening Examination (pGALS) for school-age children based on the adult GALS screen. Arthritis Rheum 55:709, 2006.

Goldenring JM, Cohen E: Getting into adolescent heads. Contemp Pediatr 5:75, 1988.

Greene WB: Essentials of Musculoskeletal Care, 2nd ed. Rosemont, 1ll, American Academy of Orthopaedic Surgeons/American Academy of Pediatrics, 2001.

Hurwitz S: Clinical Pediatric Dermatology, 2nd ed. Philadelphia, WB Saunders, 1993.

Johnson CF: Inflicted injury versus accidental injury. Pediatr Clin North Am 37:807, 1990.

Jones KL (ed): Smith's Recognizable Patterns of Human Malformation, 5th ed. Philadelphia, WB Saunders, 1997.

Kaltman J, Shah M: Evaluation of the child with an arrhythmia. Pediatr Clin North Am 51:1537, 2004.

Kochanek KD, Murphy SL, Anderson RN, et al: Deaths: Final data for 2002. Natl Vital Stat Rep 53(5):1, 2004.

Kohli R, Li BK: Differential diagnosis of recurrent abdominal pain: New considerations. Pediatr Ann 33:113, 2004.

Krous HF, Beckwith JB, Byard RW, et al: Sudden infant death syndrome and unclassified sudden infant deaths: A definitional and diagnostic approach. Pediatrics 114:234, 2004.

Marshall WA, Tanner JM: Variations in the pattern of pubertal changes in boys. Arch Dis Child 45:22, 1970.

McIsaac WJ, Kellner JD, Aufricht P, et al: Empirical validation of guidelines for the management of pharyngitis in children and adults. JAMA 291:1587, 2004.

Pinkham JR, Casamassimo PS, Fields HW Jr, et al (eds): Pediatric Dentistry: Infancy Through Adolescence, 3rd ed. Philadelphia, WB Saunders, 1999.

Ross EM, Candy DCA, Davies EG: Clinical Pediatrics. Philadelphia, WB Saunders, 2000.

Sargent JD, DiFranza JR: Tobacco control for clinicians who treat adolescents. CA Cancer J Clin 53:102, 2003.

Shah BR, Laude TA: Atlas of Pediatric Clinical Diagnosis. Philadelphia, WB Saunders, 2000.

Slap GB: Menstrual disorders in adolescence: Best practices and research. Clin Obstet Gynecol 17:75, 2003.

Tanner JM: Growth at Adolescence, 2nd ed. Oxford, UK, Blackwell Scientific, 1962.

Wallis AL, Cody BE, Mickalide AD: Report to the Nation: Trends in Unintentional Childhood Injury Mortality, 1987-2000, Washington, DC, National SAFE KIDS Campaign, 2003.

Tinea Cruris With Menstrual Period

Was this article helpful?

0 0
Reducing Blood Pressure Naturally

Reducing Blood Pressure Naturally

Do You Suffer From High Blood Pressure? Do You Feel Like This Silent Killer Might Be Stalking You? Have you been diagnosed or pre-hypertension and hypertension? Then JOIN THE CROWD Nearly 1 in 3 adults in the United States suffer from High Blood Pressure and only 1 in 3 adults are actually aware that they have it.

Get My Free Ebook

Post a comment