Neonatal nuggets part 1: skin rashes, jaundice, lumps and bumps

A 2 day old term baby presents with the following rash over his trunk, limbs and face. The palms and soles are not affected. He has remained systemically well and feeding appropriately. The parents are concerned the rash is “meningitis”.

What is the diagnosis?

A 2 day old term baby presents with the following rash over his trunk, limbs and face. The palms and soles are not affected. He has remained systemically well and feeding appropriately. The parents are concerned the rash is “meningitis”.

What is the appropriate management?

A 2 week old term baby presents with the following rash over her trunk, limbs and face. The palms and soles are affected. She has remained systemically well and feeding appropriately. The parents are concerned as the “black spots” are different from the previous heat rash.

What is the diagnosis?

A 2 week old term baby presents with the following rash over her trunk, limbs and face. The palms and soles are affected. She has remained systemically well and feeding appropriately. The parents are concerned as the “black spots” are different from the previous heat rash.

What is the appropriate management?

A 1 week old term baby presents with this blue/grey lesions to her lumbosacral area and shoulder. She was referred for safeguarding concerns as her GP was worried about unexplained bruising. Her parents say it has been there since birth. This is documented in the red book.

What is the diagnosis?

A 1 week old term baby presents with this blue/grey lesions to her lumbosacral area and shoulder. She was referred for safeguarding concerns as her GP was worried about unexplained bruising. Her parents say it has been there since birth. This is documented in the red book.

What is the appropriate management?

A 5 day old baby presents yellow skin and sclera that first appeared over the last few days. Although he is systemically well and thriving the midwife is concerned so has sent him to the ED for assessment.

What is the appropriate management?

A 15 day old, term baby presents yellow skin and sclera that first appeared over on day 5 of life. Although he is systemically well and thriving the midwife is concerned so has sent him to the ED for assessment.

What is the appropriate management?

A 3 week old term baby presents with a soft, lump arising from her umbilicus. Her mum reports it increases in size when she cries. She is otherwise systemically well.

What is the diagnosis?

A 3 week old term baby presents with a soft, lump arising from her umbilicus. Her mum reports it increases in size when she cries. She is otherwise systemically well.

What is the appropriate management?