Anemia of Prematurity - Portal Neonatal

Physical:
• Local disease: Physical signs vary with the extent of disease. Signs of localized infection
include the following:
o Purulent or malodorous discharge from the umbilical stump
o Periumbilical erythema
o Edema
o Tenderness
• Extensive local disease: The following signs indicate more extensive local disease, such as
fasciitis or myonecrosis. These signs also may suggest infection by both aerobic and
anaerobic organisms and include the following:
o Periumbilical ecchymoses
o Crepitus
o Bullae
o Progression of cellulitis despite antimicrobial therapy
• Systemic disease: Signs of sepsis or other systemic disease are nonspecific and include
disturbances of thermoregulation or evidence of dysfunction of multiple organ systems.
Examples include the following:
Causes:
o Disturbances of thermoregulation - Fever (temperature >38°C), hypothermia
(temperature 180 beats per minute [bpm]),
hypotension (systolic blood pressure