Practise counselling a mother with diabetes whose newborn has a low glucose: why he’s being checked, what happens next, and an honest answer about his brain.
Practise a viva on low glucose in a late-preterm, small-for-gestational-age baby: who to screen, the age-specific thresholds, and when to give IV glucose.
Who to screen, when to feed and when to give IV glucose: the AAP’s practical approach to low glucose in late-preterm and term newborns.
Practise counselling a parent about jaundice: why this baby needs hospital phototherapy, why water and sunlight are unsafe, and what happens next.
A practice OSCE viva on severe neonatal jaundice, based on the AAP 2022 guideline: when to escalate, when to use IVIG and when an exchange can’t wait.
The AAP 2022 jaundice guideline explained: higher phototherapy thresholds, follow-up based on distance from the threshold, and the new escalation-of-care step.
In very preterm babies, the first-day danger is low blood flow, not low blood pressure. Here’s how the immature heart, the duct and the brain interact.
Mean BP below gestation, under 30 mmHg or a low centile? None of these numbers predicts outcome. Confirm poor perfusion before you treat a reading.
Milrinone, the inodilator: strengthens the heart and unloads it at once. Where it shines (post-ligation syndrome, pulmonary hypertension) — and where it fails and harms.
Dopamine is the NICU’s default inotrope — reliable at raising blood pressure, but with no proven outcome benefit. Its dose ladder, hidden costs and the “renal-dose” myth.
