PAED4407 Neonatal Surgery

Credit
6 points
Offering
(see Timetable)
AvailabilityLocationMode
Semester 2OnlineOnline
Content
This unit covers theoretical knowledge essential in the management of neonates with surgical conditions. Special focus is on having a high index of diagnostic suspicion, early diagnosis and initial stabilisation prior to transfer to a tertiary surgical neonatal unit.

The unit includes (1) gastrointestinal—malrotation, volvulus; Hirschsprung's disease; hypertrophic pyloric stenosis, inguinal hernias, bilious vomiting, imperforate anus, gastroschisis, exampholos; (2) thoracic—oesophageal atresia/tracheo-oesophageal fistula; congenital diaphragmatic hernia; (3) urology—posterior urethral valves; dilatation of renal pelves detected on antenatal ultrasounds; (4) biliary—biliary atresia; conjugated hyperbilirubinemia, pale coloured stools; (5) ear, nose and throat—choanal atresia on other nasal obstructive conditions such as pyriform aperture stenosis; (6) plastic surgical conditions—cleft lip and palate; Pierre Robin sequence; soft tissue infiltration injuries, hemangioma, lymphangiomas; (7) cardiac—how to suspect heart disease, role of clinical examination and pulse oximetry; use of prostaglandin E1 in duct dependent lesions; (8) hips—developmental dysplasia of the hip, importance of clinical examination, usefulness of ultrasound, early referral to minimise morbidity; (9) eyes—cataract, retinoblastoma, importance of examination of eyes for red reflex; (10) orthopaedic—talipes, Hemivertebra, congenital scoliosis, developmental dysplasia of hips; and (11) neurology—hydrocephalus, subgaleal haemorrhage and spina bifida (especially occulta).
Outcomes
Students are able to (1) have a good knowledge of the commonly encountered neonatal surgical conditions; (2) have a sound knowledge in early diagnosis and initial stabilisation; (3) have some understanding of operative procedures and pre and post-operative management; and (4) identify danger signs of neonatal surgical conditions and make early referral.
Assessment
Indicative assessments in this unit are as follows: (1) a two-hour end-of-semester examination; (2) three topic presentations over the course of semester; and (3) three case presentations over the course of semester. Further information is available in the unit outline.

Supplementary assessment is not available in this unit.
Unit Coordinator(s)
Clinical Associate Professor Shripada Rao
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