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This is another example of facial bruising. Here again the face appears to be cyanotic (including
appears to be cyanotic ... On careful examination ... bruising in a newborn ... #peds #pediatrics ... #clinical #photo
Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm
Peripheral Only:
 • Poor Perfusion
 • Acrocyanosis
Hemoglobinopathy:
Causes of Cyanosis ... in the Newborn ... Differential Diagnosis Algorithm ... #Diagnosis #Algorithm ... #Causes #Peds #
perioral cyanosis- A blue color around the lips and philtrum is a relatively common finding shortly
perioral cyanosis ... #clinical #photo ... #peds #pediatrics ... #newborn #perioral ... #cyanosis #acrocyanosis
Acrocyanosis- Here again, the cyanosis of the feet is apparent in comparison to the parent's hand
Here again, the cyanosis ... is apparent in comparison ... #clinical #photo ... #newborn #peds
Perioral cyanosis- Another newborn with perioral cyanosis clearly demonstrates that although the philtrum and upper chin
Perioral cyanosis ... - Another newborn ... #clinical #photo ... #peds #pediatrics ... #newborn
Rapid Pediatric Assessment Diagram:
* Assessment of Appearance
  - Tone: Moves spontaneously, resists examination
  -
spontaneously, resists examination ... with environment, reaches ... - Mottling - Cyanosis ... Diagnosis #EM #Peds
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
the ED with a rash ... On examination, ... the patient’s rash ... SSSS #Clinical #Photo ... #Peds #Pediatrics
Acrocyanosis- Shortly after birth, cyanosis of the hands, feet, and perioral area are common findings. In
Shortly after birth, cyanosis ... In this photo, notice ... #clinical #photo ... #newborn #peds
Facial bruising- Marked bruising of the face can occur during delivery. It is more common when
be mistaken for cyanosis ... but with a quick comparison ... #peds #pediatrics ... #clinical #photo ... facial #bruising #newborn
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
FLAGS - In all cases ... the history and examination ... #Limping #NWB #Algorithm ... Pathway #Child #Peds