Newborn examination and screening

Your progress

Saved on this device.

Target exams

Red flags

• White pupil (leucocoria) on red reflex — retinoblastoma or congenital cataract until proven otherwise; same-day ophthalmology
• Differential or low oxygen saturations on pulse oximetry screen — duct-dependent congenital heart disease before collapse
• Bilious vomiting — malrotation with volvulus until proven otherwise; nil-by-mouth and urgent surgical referral
• Jaundice within the first 24 hours — always pathological; measure bilirubin and investigate haemolysis
• Absent femoral pulses or weak upper-limb pulses — coarctation or interrupted aortic arch
• Midline spinal skin lesion with a dimple above the gluteal cleft, hair tuft, or lipoma — occult spinal dysraphism
• Poor feeding, lethargy, or temperature instability — neonatal sepsis until excluded

Life stages

Care settings

Clinical exam formats

Board mappings

• Neonatology — newborn examination and screening
• General and Community Paediatrics
• Learning goal: essential general paediatrics — newborn assessment
• Learning goal: recognition and management of congenital anomalies and the dysmorphic newborn
• Neonatology — newborn examination and routine screening
• Clinical Applications — interpretation of newborn screening tests
• Short Cases — newborn examination
• Long Cases — congenital anomalies and the dysmorphic newborn
• 1. Frameworks for clinical practice — newborn assessment
• 8. Lead and collaborate within teams — abnormal screening results and referral
• Foundation of Practice (FOP) — newborn examination
• Applied Knowledge in Practice (AKP) — newborn screening
• History
• Examination — newborn and infant
• Communication — explaining screening results
• General Pediatrics Content Outline — Domain 3: Fetus and Newborn Infant
• General Pediatrics Content Outline — Universal Task 5: Prevention
• Patient Care 1: Screening and Preventive Services
• Patient Care 5: Patient Management
• Medical Knowledge 1: Neonatology and newborn care
• Medical Expert — newborn examination
• Communicator — conveying screening results to families
• Pediatrics: Foundations EPA #3 — Perform a complete history and physical examination