POLICITEMIA NEONATAL.opa.hhhj.jah.llpptx

Noanatal

1. POLICITEMIA neonatal Agosto 2024

2. DEFINICIÓN 01

3. Definición > 65% . > 22g/dl Ramamurthy RS, Brans YW. Neonatal polycythemia. I. Criteria for diagnosis and treatment. Pediatrics 1981;68:168-74.

4. EPIDEMIOLOGIA 02

5. La policitemia es un trastorno relativamente común que se presenta en el 1-5% de los neonatos. Es más común en bebés pequeños para su edad gestacional (PEG) y en bebés grandes para su edad gestacional (GEG). Los bebés nacidos a mayor altitud también tienen una mayor incidencia. Sin embargo, la mayoría de los bebés con policitemia tienen un tamaño o peso apropiado para su edad gestacional (EGA). Los bebés de madres con diabetes tienen una incidencia de policitemia del 10-30%.

6. Se basa en la determinación del hematocrito venoso central.
El hematocrito en las primeras dos horas de vida se encuentra elevado y se estabiliza a las doce horas de vida.
Se considera hematocrito anormal cuando es >65% después de las doce horas de vida en muestra de sangre de vena mayor) central (En sangre capilar el hematocrito es 5-15% Diagnóstico Pantoja, M. (2005). Policitemia neonatal. En F. Espinoza (Ed.), La neonatología en la atención primaria de salud (pp. 461-466). La Paz: Grupo Impresor.

7. 01 02 03 04 05 06 DEFINICION EPIDEMIOLOGIA FISIOPATOLOGIA MANIFESTACIONES CLINICAS FACTORES DE RIESGO DIAGNOSTICO CONTENIDO 07 TRATAMIENTO

8. INTRODUCCION …

9. FACTORES DE RIESGO 03

10. La policitemia debida a un exceso en la producción de glóbulos rojos condicionado por el incremento de la eritropoyetina fetal en respuesta a eventos hipóxicos. La policitemia que ocurre por un incremento del volumen sanguíneo fetal a consecuencia de una transfusión inadvertida previa o durante el parto La policitemia neonatal se clasifica en dos grandes grupos según el factor desencadenante: Neonatal polycythemia and hyperviscosity Dr.: Manuel Pantoja Ludueña

11. Neonatal polycythemia and hyperviscosity Dr.: Manuel Pantoja Ludueña.

12. FISIOPATOLOGIA 04

13. Manifestaciones Clinicas 05

14. El abanico de síntomas y signos relacionados con la policitemia en el neonato es amplio. Los síntomas más frecuentemente descritos en diferentes series de casos son: La plétora facial (dato de mayor valor diagnóstico) La letargia La mayoría de los recién nacidos con policitemia son asintomáticos y las manifestaciones clínicas son usualmente secundarias a la hiperviscosidad sanguínea. Las alteraciones que con mayor frecuencia se presentan en los recién nacidos policitemicos sintomáticos son: Ictericia Trombocitopenia Hipoglucemia Hipocalcemia Existe mayor riesgo de desarrollar una enterocolitis necrosante por la disminución del flujo sanguíneo a nivel mesentérico secundario a la hiperviscosidad sanguínea Policitemia en el recién nacido M. Alsina Casanova y A. Martín-Ancel

15. Manifestaciones clinicas de policitemia neonatal Policitemia neonatal e hiperviscosidad. Dr.: Manuel Pantoja Ludueña

16. About anemia Despite being red, Mars is a cold place Fever It’s the second planet from the Sun Sight It’s the biggest planet of them all Swelling Pale Skin It’s a gas giant and has several rings

17. Type A Type B Concepts and typology Despite being red, Mars is a cold place It’s a gas giant and has several rings

18. A picture is worth a thousand words

19. Pathology Intense pain Yellowish color Despite being red, Mars is a cold place Neptune is the farthest from the Sun Swollen hands Stunted growth Saturn is a gas giant and has several rings Venus is the second planet from the Sun

20. Symptoms of sickle cell anemia It’s the closest planet to the Sun and the smallest Accelerated Saturn is a gas giant and has several rings Fatigue Earth is the third planet from the Sun Distracted Venus is the second planet from the Sun Dizziness Neptune is the farthest from the Sun Swollen hand Despite being red, Mars is a cold place Irritable

21. Risks factors Age Gender Follow the link in the graph to modify its data and then paste the new one here. For more info, click here 0-5 16% 10-25 84% 60% 40% Female Male

22. 2000 The Spanish Society of Pediatric Hematology has kept records of patients who suffer from it since 2000

23. 50,000 It’s the closest planet to the Sun and the smallest 10,000 Saturn is a gas giant and has several rings 20,000 Earth is the third planet from the Sun Key numbers

24. Diagnosis Mercury Venus Mars Mercury is the closest planet to the Sun Venus is the second planet from the Sun Despite being red, Mars is a cold place Saturn Jupiter Neptune Saturn is a gas giant and has several rings It’s the biggest planet in the Solar System Neptune is the farthest from the Sun

25. Prevention Folic acid Much water Do sport It’s the closest planet to the Sun It has very high temperatures Mars is actually a very cold place It’s the smallest planet of them all Venus has a beautiful name Mars it's full of iron oxide dust

26. A picture always reinforces the concept Images reveal large amounts of data, so remember: use an image instead of a long text

27. Surgeries Medicines It’s the closest planet to the Sun and the smallest one in the Solar System Venus has a beautiful name and is the second planet from the Sun Treatment

28. Timeline Venus is the second planet from the Sun Jupiter is the biggest planet in the Solar System Saturn is a gas giant and has several rings 1 2 3 Venus Jupiter Saturn

29. Recommendations Don'ts Do Here you can describe what the patient shouldn’t do Here you can describe what the patient shouldn’t do Here you can describe what the patient shouldn’t do Here you can describe what the patient shouldn’t do Here you can describe what the patient should do Here you can describe what the patient should do Here you can describe what the patient should do Here you can describe what the patient should do

30. Prevalence Neptune Neptune is the farthest from the Sun Jupiter It’s the biggest planet in the Solar System

31. Conclusions Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon

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36. Icon pack: blood donation

37. Alternative resources Photos: Side view doctor holding blood sample Back view doctor holding blood sample Doctor taking blood Smiling doctor looking blood sample Doctor analyzing blood samples with microscope Woman hand holding blood sample Female hands holding blood samples Doctor wearing face mask surgical gloves

38. Resources Vectors: Hand drawn blood infographic Icons: Pack blood donation Photos: Back view doctor holding blood sample Doctor holding syringe vaccine Front view having neck pain Coronavirus vaccine composition lab Coronavirus vaccine lab with samples Composition coronavirus vaccine Low angle nurse tired Male doctor wearing mask gloves Composition coronavirus lab

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