Tarek's Neonatology Podcast

Epizódy

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  Small Heart and a Big Battle , The CDH hidden mystery 09.10.2026 21min

  Do not forget to join the neonatal ventilation course by Tarek register here https://docs.google.com/document/d/1roNmgCYoW4jSDPGp4yHtIKTq3fyYrHxWpf_hQ0JuG2Y/edit?usp=sharing Severe congenital diaphragmatic hernia profoundly alters foetal and neonatal heart development due to abnormal pulmonary circulation. Because underdeveloped lungs restrict blood return to the heart, the left ventricle fails to grow properly before birth, resulting in a condition known as left ventricular hypoplasia. Fol...
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  A wish which every neonatologist have , the ability to see things before it actually happens 08.10.2026 24min

  do not forget to join the neonatal ventilation course https://docs.google.com/document/d/1roNmgCYoW4jSDPGp4yHtIKTq3fyYrHxWpf_hQ0JuG2Y/edit?usp=sharing Necrotizing enterocolitis often develops silently in preterm infants before clinical symptoms appear, creating a difficult prevention paradox for healthcare providers. Waiting for overt signs like abdominal swelling or bloody stools means intervention may happen too late, yet acting prematurely risks subjecting vulnerable babies to unnecessary ...
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  Code Conjugated: The Direct Bilirubin Dilemma 07.10.2026 20min

  OutlinIng the primary causes and clinical approach to conjugated jaundice in newborns, signaling an underlying liver or biliary system dysfunction. When bile flow is blocked by structural abnormalities such as biliary atresia or choledochal cysts, infants develop jaundice alongside characteristic dark urine. Additionally, hepatocyte damage from neonatal hepatitis, infections, or immune reactions can cause the liver to leak conjugated bilirubin into the bloodstream. Various inherited and metab...
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  let us solve the buzzle of Causes of Unconjugated Jaundice in Neonates 07.10.2026 10min

  the primary medical triggers behind unconjugated jaundice in newborns, which stems from either excessive bilirubin generation or impaired hepatic processing. The first major category involves hemolytic production, driven by conditions like ABO incompatibility, hemolytic disease, or hereditary spherocytosis that accelerate red blood cell destruction. Alternatively, non-hemolytic overproduction can result from significant birth trauma, severe bruising, or polycythemia. Furthermore, reduced live...
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  Isolated Large Anterior Fontanelle in the Term Neonate 05.10.2026 19min

  An isolated large anterior fontanelle in a full-term newborn is defined as measuring greater than four to six centimeters or exceeding two standard deviations for the infant's age. This clinical sign can stem from various underlying origins, including endocrine deficiencies, nutritional rickets, genetic abnormalities, increased intracranial pressure, or simply represent a harmless normal variant. Physicians evaluate this finding through thorough medical histories, developmental tracking, bloo...
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  When the definitive answer lie in the biochemistry ,the diagnostic lab trap osteogenesis imperfecta vs hypophosphatasia 02.10.2026 24min

  Osteogenesis Imperfecta (OI) and Hypophosphatasia (HPP), two uncommon skeletal conditions with distinct underlying mechanisms. Osteogenesis Imperfecta, often known as brittle bone disease, stems from genetic defects in collagen production that weaken the skeletal structure and cause frequent fractures. Conversely, Hypophosphatasia involves a deficiency in alkaline phosphatase, which hinders proper bone mineralization and leads to soft bones, early tooth loss, and rickets-like symptoms. While ...
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  Can we solve the mystery of persistent hypoglycemia through a hypo screen 27.09.2026 20min

  A comprehensive diagnostic framework for identifying the underlying causes of low blood sugar in newborns. The evaluation focuses on hormonal responses, such as insulin and cortisol levels, alongside the presence of metabolic markers like ketones, fatty acids, and lactate. For instance, the presence or absence of acidemia and specific fuel utilization patterns help distinguish between hyperinsulinism, fatty acid oxidation defects, and growth hormone deficiencies. Ultimately, these tools ensur...
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  Infantile hemangioma what every neonatologist should know 25.09.2026 33min

  These sources outline essential protocols for managing infantile hemangiomas, emphasizing the importance of early intervention and precise documentation through clinical photography. While most lesions are diagnosed visually, medical imaging is necessary when multiple cutaneous spots suggest internal liver involvement or potential structural syndromes. Oral propranolol serves as the primary systemic treatment, though providers must carefully monitor dosages and feeding schedules to prevent hy...
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  Mastering the Neonatal Lumbar Puncture: Success Strategies and Clinical Insights 23.09.2026 20min

  This guide outlines the critical clinical protocols and best practices for performing a neonatal lumbar puncture to diagnose conditions like meningitis. The text emphasizes that procedural success is heavily influenced by the presence of an experienced holder and the use of local anesthesia to minimize infant movement. While educational videos may increase provider comfort, they do not statistically improve outcomes, whereas early stylet removal is a proven technique for identifying cerebrosp...
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  The wander land of HIE part 2 21.09.2026 22min

  This medical text outlines the standardized TOBY criteria used to identify and treat hypoxic-ischaemic encephalopathy (HIE) in newborns. Because HIE is a significant contributor to infant mortality and cerebral palsy, medical facilities must strictly evaluate a child's Apgar scores, blood gas levels, and neurological status to determine if therapeutic hypothermia is necessary. The guidelines specify that cooling is recommended for infants showing signs of moderate to severe encephalopathy or ...
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  Neonatal HIE and Therapeutic Hypothermia Care Guide 21.09.2026 21min

  Therapeutic hypothermia (TH) is a critical intervention for newborns suffering from neonatal hypoxic-ischaemic encephalopathy (HIE), requiring strict adherence to physiological and neurological inclusion criteria. To qualify for cooling, infants must typically be at least 36 weeks gestation and demonstrate significant signs of intrapartum hypoxia or moderate to severe encephalopathy. Clinical management involves monitoring specific physiological shifts during the cooling and rewarming phases,...
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  Clinical Approach to the Floppy Neonate 19.09.2026 16min

  This medical guide outlines the diagnostic approach to floppy infant syndrome, a condition characterized by decreased muscle tone and weakness in newborns. Clinicians are encouraged to distinguish between central and peripheral causes by evaluating postural resistance and checking for signs like paradoxical breathing or poor swallowing. A thorough investigation involves reviewing maternal history and performing targeted tests, ranging from metabolic screenings to genetic mapping for disorders...
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  TORCH screen in a neonate with suspected congenital infection 19.09.2026 20min

  This review article outlines a structured clinical framework for identifying and managing congenital infections in newborns, often categorized by the TORCH acronym. The authors emphasize moving away from generic screening toward a targeted diagnostic approach informed by specific maternal histories and neonatal physical signs such as microcephaly, rashes, and organ enlargement. Detailed sections examine the unique presentations of pathogens like cytomegalovirus, syphilis, and toxoplasmosis, h...