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Appendice Percorsi Assistenziali Neonatologici Anno 2008 Segni di gravità o particolare ampiezza della pielectasia bilaterale Eco renale Cistografia Esame Urine, Urinocoltura, BI, esami ematochimici Eco: pielectasia bilaterale Cisto: RVU positivo Valvole dell’ uretra posteriore? SI CHIRURGIA 29. FLOW-CHART DIAGNOSTICO-TERAPEUTICA PER PIELECTASIA PRENATALE NO Segni suggestivi di sospetta SGPU, riduzione parenchima, IVU recidivanti Scintigrafia renale DTPA o DMSA (dopo il 2 mese ) Profilassi antibiotica Esame urine ed urinocoltura mensile Follow-up Urologico DIAGNOSI PRENATALE DI PIELECTASIA Eco: pielectasia mono Cisto: RVU positivo Follow-up in base al grado del RVU Profilassi antibiotica SI Qualunque ampiezza Eco renale in 3ª giornata al nido Pielectasia ≥ 14 mm: es. urine e urinocoltura NO Cistografia RVU ? Pielectasia SI SI Normale o < 14 mm Eco a 1 mese Normale ? NO Eco a 3 mesi (es. urine e urinocoltura se febbre) Normale ? Eco a 1 anno
Percorsi Assistenziali Neonatologici Anno 2008 30. COMPOSIZIONE DEL CHILO (DIAGNOSI DI CHILOTORACE NEONATALE) Componenti Media Range Proteine totali (g/dl) 3,56 1,89 – 6,17 Albumina (g/dl) 2,24 1,26 – 3,0 Lipidi totali (mg/dl) 1180 56 – 3500 Colesterolo (mg/dl) 81 48 – 200 Trigliceridi (mg/dl) 197 123 – 234 Globuli Bianchi (cell/mmc) 15.200 0 – 29.000 Linfociti (%) 90 70 – 100 pH 7,5 7,4 – 7,8 Peso Specifico 1013 1008 - 1027 Appendice
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Dedica Quest’opera è dedicata a
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PERCORSI ASSISTENZIALI CARDIO-CIRCO
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PERCORSI ASSISTENZIALI GENITO-URINA
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Base Percorsi Assistenziali Neonato
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Analgesia e Care Percorsi Assistenz
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Respiratori Percorsi Assistenziali
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Cardio-Circolatori Percorsi Assiste
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Ematologici Percorsi Assistenziali
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Infettivologici Percorsi Assistenzi
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Neurologici Percorsi Assistenziali
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Nutrizionali Percorsi Assistenziali
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Metabolici Percorsi Assistenziali N
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Metabolici 24 Percorsi Assistenzial
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Genito-Urinari Percorsi Assistenzia
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Page 257 and 258: Genito-Urinari Percorsi Assistenzia
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Page 321 and 322: Insufficienza respiratoria pretermi
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