A newborn infant is brought to your attention within 24 hours post delivery because of failure to thrive. The mother notes excessive sweating, sneezing, fever, nasal stuffiness, and yawning. He has a high pitched cry, irritability, sleep and wake disturbances, hyperactive primitive reflexes, hypertonicity, and tremors. His feeding is poor. He has some vomiting and loose stools.
His labs including glucose are normal. His sepsis workup is negative. Thyroid studies are unremarkable.
Challenge: What can you tell me abut the mother's social history?
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I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
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3 comments:
Mom uses opiates / heroin
The mother likely has a history of cocaine use.
yep! symptoms closer to opiates/heroin than cocaine.
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Too Young
This is neonatal abstinence syndrome, seen when a newborn infant born to a mother dependent on opioids is at risk for drug withdrawal. The timing is consistent with withdrawal from maternal heroin.
Source: UpToDate.
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