Surgery by doctor Andalib

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Transport protocol for transfer of a neonate

November 03, 2021

Importance of standard transport protocol for transfer of a neonate from a primary care center to a referral center. Treatment of the sick neonate in specialized neonatal intensive care units has been associated with decrease in mortality and morbidity. Organized emergency neonatal transport systems developed and became an important component in the regionalization of perinatal care [1-4]. In utero transfer is the safest transfer but unfortunately, preterm delivery, perinatal illness and congenital malformations cannot always be anticipated, resulting in a continued need for transfer of babies after delivery [5]. These babies are often critically ill, and the outcome is partly dependent on the effectiveness of the transport system [6]. Facilities for neonatal transport in India are dismal. Most neonates are transported without any pre-transport stabilization or care during transport. Any available vehicle is used which often takes long hours to reach. With less experienced staff, the

Scalp injuries- Explained by Dr Saad Andalib ( A review article).

July 03, 2021

Scalp hematomas : Scalp hematomas are an important indicator of potential TBI, especially when they appear in younger infants (eg, <6 months of age), are larger (eg, >3 cm), and are located in the temporal, parietal, or occipital regions. Hematomas of the neonates: Introduction: Neonatal hematomas refer to a grouping of extracranial injuries that occur during delivery and are secondary to edema or bleeding into the varying locations within the scalp and skull. Caput Succedaneum : Edematous region above the periosteum that crosses suture lines Presents at birth, typically after prolonged or difficult labor due to compression against bony prominence of maternal pelvis Visualize pitting edema on physical exam Discoloration may be present Usually resolves within a few days and requires no further treatment Complications to look out for include long term scarring and alopecia Halo scalp ring is an alopecic ring that can develop after resolution. Cephalohematoma : Subperios

Hemangioma- A step by step approach

June 19, 2021

What is a hemangioma? Hemangioma is a vascular neoplasm or a vascular anomaly due to proliferation of blood vessels. They occur anywhere in the body, but skin and oral mucosa in the region of the lips, tongue, and buccal mucosa are most commonly affected. Therefore, the dentist or oral surgeon should be informed about their clinical aspect, diagnosis, and therapy. The gold standard for hemangioma treatment, especially for smaller circumscribed lesions and peripheral hemangiomas, is conventional surgical excision. However, complications that arise from conventional invasive surgical procedures such as excessive postoperative bleeding compelled the use of other different therapeutic alternatives including systemic corticosteroids, laser therapy, cauterization, cryotherapy, radiotherapy, and sclerotherapy. Hemangiomas are more common in girls than in boys. They are more common in premature infants, twins and Caucasian children. Most hemangiomas go through several phases of growth. Then

Baker’s cyst or popliteal cyst - Explained

June 15, 2021

Baker’s Cyst/ Popliteal Cyst What Is a Baker’s Cyst? A Baker’s cyst is a fluid-filled sac behind your knee . It often causes a bulge and a feeling of tightness. You might hear your doctor call it a popliteal cyst. Symptoms of a Baker’s Cyst It might not cause any symptoms, but they may include: Swelling behind your knee Swelling in your leg Knee pain Stiffness -- you won’t be able to bend your knee Causes of Baker’s Cysts Causes of a Baker's cyst may include: Swelling in the knee. This happens when the fluid that lubricates your knee joint increases. When pressure builds up, fluid squeezes into the back of the knee and creates the cyst . Arthritis . People with all forms of arthritis often have Baker’s cysts. Injury. A sports-related injury or other blow to the knee can cause A Baker's cyst. Gout . This type of arthritis, which results from the buildup of uric acid in the blood , can lead to a Baker’s cyst. Baker’s Cyst Diagnosis See your doctor if you have any of the s

Cellulitis explained

June 13, 2021

What is cellulitis? Cellulitis is a common and sometimes painful bacterial skin infection. It may first appear as a red, swollen area that feels hot and tender to the touch. The redness and swelling can spread quickly. It most often affects the skin of the lower legs, although the infection can occur anywhere on a person’s body or face. Cellulitis usually happens on the surface of the skin, but it may also affect the tissues underneath. The infection can spread to your lymph nodes and bloodstream. If you don’t treat cellulitis, it could become life threatening. Get medical help right away if you have symptoms. Symptoms Cellulitis symptoms include: pain and tenderness in the affected area redness or inflammation of your skin a skin sore or rash that grows quickly tight, glossy, swollen skin a feeling of warmth in the affected area an abscess with pus fever More serious cellulitis symptoms include: shaking chills feeling ill fatigue dizziness lightheadedness muscle aches warm skin s