LABS/ X-rays/ physical exam findings and pertinent history used in DIAGNOSIS of NEC. PART II
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- เผยแพร่เมื่อ 25 ก.ค. 2024
- Is there one specific test we use to diagnose NEC? What about green residuals? Blood in the stools? Pneumatosis? How do we diagnose NEC? How do we stage NEC? Why is it all so confusing?! Learn all this and more
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Dr. Tala is a board-certified neonatologist, and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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**TIMESTAMPS**
01:23 Intro
3:10 History
6:03 Physical Exam Findings
12:12 Imaging
19:14 Lab Findings
24:22 Bell Staging of NEC
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Prasad GR, Aziz A. Abdominal plain radiograph in neonatal intestinal obstruction. J Neonat Surg. 2017; 6:6.
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
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Great video, Dr Tala. Well made and professional video too! Best wishes to you and your team.
Thank YOU so much Dr. Sridhar- that means SO much coming from you. We are all so impressed at your really comprehensive videos (so many and so detailed! I don't know how you do it!) Thank you!!
Everyone go check out Sridhar K's channel! and LEARN a lot more!!!
@@TalaTalksNICU Very nice of you , Tala. I will review the other videos too, you make it look so easy, like a chat with your friend. That's an amazing approach to teaching. Best wishes
That's amazing you say that! Exactly what we're aiming for! (It does mean however, that sometimes the most in depth details get missed however, but luckily you're making your incredibly thorough videos- so they can work together!). Thank you again!
@@TalaTalksNICU It does work this way, as our ability to grasp information is limited. The MCQ format you are using is generating lot of interest and engagement, well done!
Again thank you Dr Tala and your team for all the hard work, NEC is one of my favorite topics and you have made it lot more fun to learn, thank you.
Oh wow thank you Naitram! That comment makes us all so happy. I think I have a love hate relationship with NEC- it's so fascinating but I hate (I tell my kids never to use that word, and here I am!) it so much when it affects our patients. We just have to sit and wait and hope they improve. Again thank you for being here, and keeping us motivated with your lovely comments.
Thanks much for taking the time to do these videos. Medical students and interns are so privileged these days. Everything at their finger tips. 😊
That's so funny Ayanna! Arianna and I were talking about this a couple of weeks ago- how much easier our training would have been too! Everybody understanding and enjoying medicine slightly more is only a good thing for all of us and for our patients. Thanks so much for watching and for commenting (and for recognizing that it does take a lot of time! ha!).
I really appreciated the summary of Bells staging. Thank you for going over not just fact regurgitation but truly taking the time to explain your thought process when you discussed this topic. I also really enjoyed the way you went over the history portion (i.e. things to look for when you're concerned about NEC) and the way you discussed the timeline of when an infant presents with sx and why you would be more concerned for SIP rather than NEC. Brava!
We are absolutely loving all your positive encouraging comments! Thank you so much for taking the time to write to us. It’s also really helpful knowing what people like to watch- because we’re kind of sitting in a vacuum here not knowing what will hit! So thank you!!!!
Actual lightbulb moments listening to this. Thank you so much to the whole team.
AAHHH! No better words! The lightbulb moment is what we're always striving for!! Thank you so much Jo!
Great video. Will rewatch again to better understand everything. Thanks Dr. Tala :)
Hi Kyle! Thanks so much- always love hearing from you. So happy you're still watching (and taking the time to comment!) thank you for your support :)
Am I spending my evenings binge-watching NICU Tala Talks videos? Maybe...
Thank you for the great work. This video is PACKED with useful information. I also really enjoyed the one with the two quick formulas (for fluid rate and full enteral feeds). No topic is too small to make a video about. It will always be appreciated :)
Ahhh- what lovely comments Christoph! You have made our 2022! So happy that these are useful for you. We are planning a few fun series for this year so we do hope you stick around! Happy New Years!
Excellent..the best that i have been learned about NEC.👏👌
So glad that it helped in any way!
And thanks so much for commenting and for subscribing :)
Amazingly easy , great job Dr Talah, hoping that the next vedio is going to be about the treatment
Yay! Easy is what we're aiming for! Thank you so much! And yes- next 2 videos will be on management and outcomes. Thank you for commenting!
Tala as always Marvelous, Gifted master Simplifier.
Stay blessed dear.
You are such a great motivator Dr. Khalid! We bet you're great to work with! Thank you!!
thank you Dr. tala for your amazing videos...really helpful
Thank you so much Selsabil for being such a loyal watcher. We really appreciate your comments :)
Thank you Dr Tala.. Great presentation
So glad you liked it- thank you so much for writing in!
Thanks dr. Tala for your valuable informative video.
Thank you so much for watching and for taking the time to comment :)
Love having more “light bulb”💡moments. Thank you Dr.Tala for sharing your expertise. Your explanations are so easy to understand.
I would like to strongly request a video content on meconium ileus vs- meconium plug syndrome.
'Light bulb moments' is our biggest possible compliment! Thank you so much!!!
Meconium plug and general GI obstructions is an excellent topic- and one I love to talk about! We'll put that down on our list- and we'll try to get to it soon (definitely want to honor requests of our loyal viewers!!!)
@@TalaTalksNICU - Awesome! Thank you for taking my request under consideration. I’d love to be able to have a easier way to teach the difference to our NICU nurses and families when we have these encounters. Appreciate your time.
Absolutely- thanks so much for being here :)
Excellent video...keep it up tala
Thank you so much!
Thank you for this amazing video 👏🏻
Thank you so much Havva! So glad you're still watching :))
Enjoyed the talk! Thanks
Fantastic! Thanks so much Awais- and thanks for subscribing :)
V.Nice
Highly recommended channel
We're so happy you're still here and watching everything Monjid! Thank you so much for your support - we really appreciate it :)
Excellent u r brilliant Doc🤩
So happy it helped- not sure about the being brilliant part!
Thank you for sharing your expertise
Thank you so much for watching and for writing to us :)
Really a good lecture thank you so much
So glad you thought so- thank you
Really good video ,Dr Tala❤
Thank you so much for watching and taking the time to comment :)
Med student here I really needed this video.
Oh great! Impressed you're thinking outside the box to get the education you're looking for. That's so great!
A lot of thanks
Thanks for being here!
explained very well.... pls add many xrays for more better understanding thanks #nainann
Hello!!! Unfortunately, it's sooooo hard to get X-rays which are not copyrighted. we put out a request for X-rays but we think everyone is in the same position as us! We would love to run a whole series on Xray findings, we're just figuring out how to do it! Thank you so much for commenting!
My premiee baby has been diagnose of NEC. She went into surgery about two weeks ago. That created a stoma for her but her body never recognized the stoma but created a fistula for her waste. They decided to use that and started feeding. She was doing great with feeding and all her vitals were good. Today a mucus like fluid with dirty blood came out from her anus and they think it’s the dead intestines that came out. Want to know if it’s possible for the dead intestines to come out like that and still have healthy ones in they for surgery
Oh Pamela- we are so sorry to hear about your baby. The intestine has many layers- so if the inner one 'dies' then that can be passed in the stool (a lot of normal stool is intestinal cells). We really hope she continues to heal- and you have the strength to get through this too. Sending love XX
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Love this! Xxx
16:48 " Whole gut is sick" is an ambiguous phrase also you did not show any X-ray to elucidate it. I wish you support the different pathological changes on Labs with Pathogenesis. eg why there is Respiratory Acidosis, why there is bone marrow suppression, why there is hyponatremia, and others and others
Hello! You make great comments. We're trying so hard here to bridge the line between the pathophysiology of a disease and clinically/ bedside helpful information. There's SO much to cover with NEC that at some point we had to stop. (Part 1 details a lot more about how the gut becomes sick). We hope you find the information you are looking for! Thanks for watching :)
Excellent video...keep it up tala
Thank you so much- appreciate your support :)