Category Archives: Screening

Tip 86: audiology 2

10% of babies who have neonatal bacterial meningitis will develop sensorineural hearing loss. They should be referred for early formal audiology assessment. Reference: Newborn Hearing Screen Programme Clinical Group, (June 2012). Newborn Hearing Screening and Assessment: Guidelines for surveillance and audiological … Continue reading

Posted in Screening | Leave a comment

Tip 71: routine postnatal screening

NICE suggests: A full examination within 72 hours of birth, including plotting head circumfrence and weight Newborn blood spot aged 5 – 8 days old Examaination aged 6 – 8 weeks including social smiling and visual fixation Hearing screening before … Continue reading

Posted in Screening | Leave a comment

Tip 64: IRT

Immunoreactive trypsinogen (IRT) is produced by the pancreas and levels are elevated in cystic fibrosis. Raised IRT also occurs in prematurity and any condition of stress e.g. difficult delivery, unwell baby. In the UK, if the IRT is high, a … Continue reading

Posted in Screening | Leave a comment

Tip 7: developmental dysplasia of the hip (DDH)

Regarding multiple births, if any baby falls into a category requiring screening for DDH (including breech position), they should all be screened. Reference: Newborn and Infant Physical Examination Screening Programme Standards 2016/17. Publication Date: April 2016. PHE publications gateway number: 2015772

Posted in Congenital anomalies, Screening | Leave a comment

Tip 5: audiology

About 1 in 850 babies born in the UK will have a permanent childhood hearing impairment. This increases to about 1 in 350 babies who have been in NICU for >48 hours. External link: NHS Newborn Hearing Screening Programme

Posted in Congenital anomalies, Screening | Leave a comment

Tip 223: congenital hypothyroidism 2

About 0.2% of infants having the national newborn blood spot test have a high TSH requiring recall. External link: UK National Screening Committee (2012). Congenital hypothyroidism is suspected. Reference: Rennie & Roberton’s Textbook of Neonatology, 5th Ed, 2005. London: Churchill. Previously published: 17/02/15

Posted in Congenital anomalies, Endocrine, Screening | Leave a comment

Tip 221: congenital hypothyroidism

The usual mode of presentation is by the finding of an elevated TSH detected on the Newborn Screening Programme, as neonates are usually subclinically affected. It affects 1 in 3000 live births. If clinical features are present, they include: dry skin, … Continue reading

Posted in Congenital anomalies, Endocrine, Screening | Leave a comment