ITE review

High yield ultrasound

Aortic aneurysm

• Most sensitive finding is aneurysm >3cm
• Most specific finding is a ruptured aneurysm with retroperitoneal hematoma

Hydroneprhosis

Cholecystitis

• Measure CBD inner wall to inner wall; normal <5mm

• Retinal detachment is tethered to the optic nerve
• Vitreous detachment is mobile and can lead to retinal detachment

(+) HCG

• Discriminatory zone 1500 IU/L
• IUP confirms requires intrauterine gestational sac plus yolk sac
• gestational sac alone = pregnancy of unknown anatomic location

The newborn exa

examine naked and head to toe, every time (think mini trauma assessment with more steps)

Newborn well-care

• The nursery
• If there is suspicion you may need to tap the baby, you MUST ask about vitamin k administration
• should receive hep b, erythromycin ointment to eyes, and vit k IM within 1-2 hours of birth
• Feeding
• newborns should take a minimum 1-2 oz of formula or breastmilk every 2-3 hous (including overnight). Normal 19 kcal/oz formula should be mixed 1 scoop of formula to 2oz of water. Water first then formula.