Check your BMI

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What does your number mean?

Body Mass Index (BMI) is a simple index of weight-for-height that is commonly used to classify underweight, overweight and obesity in adults.

BMI values are age-independent and the same for both sexes.
The health risks associated with increasing BMI are continuous and the interpretation of BMI gradings in relation to risk may differ for different populations.

As of today if your BMI is at least 35 to 39.9 and you have an associated medical condition such as diabetes, sleep apnea or high blood pressure or if your BMI is 40 or greater, you may qualify for a bariatric operation.

If you have any questions, contact Dr. Claros.

< 18.5 Underweight
18.5 – 24.9 Normal Weight
25 – 29.9 Overweight
30 – 34.9 Class I Obesity
35 – 39.9 Class II Obesity
≥ 40 Class III Obesity (Morbid)

What does your number mean?

Body Mass Index (BMI) is a simple index of weight-for-height that is commonly used to classify underweight, overweight and obesity in adults.

BMI values are age-independent and the same for both sexes.
The health risks associated with increasing BMI are continuous and the interpretation of BMI gradings in relation to risk may differ for different populations.

As of today if your BMI is at least 35 to 39.9 and you have an associated medical condition such as diabetes, sleep apnea or high blood pressure or if your BMI is 40 or greater, you may qualify for a bariatric operation.

If you have any questions, contact Dr. Claros.

< 18.5 Underweight
18.5 – 24.9 Normal Weight
25 – 29.9 Overweight
30 – 34.9 Class I Obesity
35 – 39.9 Class II Obesity
≥ 40 Class III Obesity (Morbid)

brachial plexus injury in newborn ppt

the mother has a very long labor. These injuries can lead to long-lasting consequences for the infant and a world of stress and worry for their parents. 20. Brachial Plexus Injury World's Best PowerPoint Templates - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. Found insideEssential medical facts on over 2,000 genetic syndromes. Organized alphabetically, this book provides comprehensive medical coverage for each syndrome, from genetic basis to manifestations to related medical considerations. Brachial plexus injury is the most common consequence of shoulder dystocia and can occur through bruising, stretching or avulsion of the nerve networks in the upper spine. The most common cause of Erb’s palsy is birth trauma associated with shoulder dystocia. Brachial plexus injuries affect the nerve network that provides feeling and muscle control in the shoulder, arm, forearm, hand, and fingers. SUMMARY: With advancement in 3D imaging, better fat-suppression techniques, and superior coil designs for MR imaging and the increasing availability and use of 3T magnets, the visualization of the complexity of the brachial plexus has become facile. The reported incidence of birth related brachial plexus injuries vary greatly from 2-5 out of 1000 births. I have no financial relationships relevant to this presentation. Obstetric Brachial Plexus Injury in the Newborn (0-3 months) 12:00-12:30. These are usually the most extreme examples of the disease, and do not account for the wide degree of variation we may see in skeletal remains. There generally are two types of brachial plexus treatment: physical therapy and surgery. Physical therapy is one of the two main ways to treat brachial plexus injuries. Twenty-eight had brachial palsy, giving an incidence of 3.6 per 1000 livebirths. This includes: Breech presentation, prolonged labor, or from the baby being stuck behind the mother’s pelvic bones. 1 The incidence of clavicle fractures in newborns has been reported to range between 2 and 3 per 1,000 live births. In addition to that neonatal risk, shoulder dystocia can cause birth trauma. Phrenic nerve injury with diaphragmatic paralysis must be considered when cyanosis … Babies can develop contractures — particularly in the shoulder — even at a very young age. Newborn will have a flaccid arm with absent reflexes throughout. The mechanism of injury is traction to the plexus during labor. Winner of the Standing Ovation Award for “Best PowerPoint Templates” from Presentations Magazine. The most common cause of this injury is when the neck is tilted while pulling … Heather L. Burrows, MD, PhD* 1. This book presents a broad yet focused treatment of central topics in the field of clinical neurophysiology. This may mean that you can't move or feel parts of your arm or hand. The infant is often large. Potential mechanisms of neonatal brachial plexus palsy (NBPP) include stretching/traction, compression, infiltration, and oxygen deprivation . In the UK the incidence is 0.42 per 1,000 live births. Brachial plexus is a peripheral nervous system structure that extends from the cervicothoracic spinal cord to the axilla and provides motor, sensory, and autonomic innervation to the upper extremities. Most often, the upper nerves are injured, a condition called Erb's palsy. Therapy also is a prerequisite for successful surgery, if surgery is necessary. The most common cause of adult BPI is a traffic accident, such as motorcycle accidents. An illustration showing the brachial plexus origin and its branches. What to expect after a brachial plexus block. You have had an injection of local anaesthetic around the nerves that supply movement and sensation to your arm. You can expect your arm and/or shoulder to: Be heavy and floppy Have pins and needles or numbness Feel warm. These effects may last from a few hours to a day. This book presents the first comprehensive review of all major government-supported health insurance schemes in India and their potential for contributing to the achievement of universal coverage in India are discussed. Found insideThis book opens with a discussion of neurodiversity and an elaboration of the diagnosis of autism. It then examines factors correlating with autism, including sex bias, month of birth, migration and impact of infant feeding. Found insideThe volume is part of a growing family of specialty-based adaptations of ICD-10 which retain the core codes of the parent classification while providing extended detail at the fifth character and beyond. Most brachial plexus injuries occur during birth when the complex is put under tension. Participants: Newborn infants presenting with a flaccid … As long as the outer sheath or covering of the nerve is preserved, the The brachial plexus is stretched when the head is pulled in one direction and the arm in the opposite. It may be associated with shoulder dystocia when, following delivery of the Lower brachial plexus injuries should be distinguished from upper brachial plexus injuries, which can also result from birth trauma but give a different syndrome of weakness known as Erb's palsy. A newborn can get a Brachial Plexus injury from a problem during the birth. A brachial plexus injury most commonly occurs from sports contact, motor vehicle accidents and from delivery at birth. Reports of brachial plexus injury in the absence of shoulder dystocia are subject to the criticism that perhaps shoulder dystocias were under-reported or that "excess' traction might have been placed on the baby's head during the course of a routine delivery. In the largest reported series of traumatic birth injuries, brachial plexus injuries occurred 10 to 20 times more commonly than did spinal cord injuries. This is a comprehensive rehabilitation textbook emphasizing functional approach based on the aspects of the Prague School of Rehabilitation, which was developed by Professors Vojta, Janda, Lewit and others. Figure 2. The aetiology is always a tearing force caused by traction to the head or arm. Scribd es red social de lectura y publicación más importante del mundo. Brachial Plexus Injuries (Erb's Palsy) The brachial plexus is the group of nerves that travel from the neck down the arm. In 1885, Klumpke described injury to the C8-T1 nerve roots and the nearby stellate ganglion that now bears her name. Successful treatment of patients with neonatal brachial plexus palsy (NBPP) begins with a thorough understanding of the anatomy of the brachial plexus and of the pathophysiology of nerve injury via which the brachial plexus nerves stretched in the perinatal period manifest as a weak or paralyzed upper extremity in the newborn. Found insideThe goal of this text is to provide a framework for the development and successful growth of a program. Authors from Centers of Excellence Worldwide have shared their experiences in the full spectrum in dealing with this evolving field. Brachial plexus birth injury: 849.000000000000: Brachial plexus birth injury: Brachial plexus birth injury: B: English: Neurology: Newborn (0-28 days);Baby (1-12 months) The Queen Elizabeth University Hospital, Glasgow / New Victoria Hospital are the locations for the Scottish National Brachial Plexus Injury Service. Brachial Plexus Injury The brachial plexus is a network of nerves in the shoulder that carries movement and sensory signals from the spinal cord to the arms and hands. Brachial plexus injuries typically stem from trauma to the neck, and can cause pain, weakness and numbness in the arm and hand. Brachial plexus injuries often heal well if they aren't severe. ... More items... A small proportion is unrelated to delivery. Spinal cord injury. for Adult Brachial Plexus Injuries Lynnette Rasmussen, OTRL . Identification. A total avulsion brachial plexus injury is when the brachial plexus roots are ripped away from the spinal cord. Obstetric Brachial Plexopathy is injury to the brachial plexus that occurs during birth usually as a result of a stretching injury from a difficult vaginal delivery. It's located just underneath the clavicle (collarbone) and can be injured during childbirth. (See Table 1, Page 1.) To help diagnose the extent and severity of a brachial plexus injury, you may have one or more of the following tests: X-ray. Signifi … Perinatal asphyxia. 1 OUT OF 1000. babies are born with Erb’s Palsy. A broad yet focused treatment of central topics in the appropriate distribution this!, is 1.5 per 1,000 live births be relevant for junior doctors aiming to obstetricians! Are damaged a prerequisite for successful surgery, if surgery is necessary age2,21,29 ) ultrasound … Facial nerve injury be! Cause pain, weakness and paralysis in the arm been a complicated delivery brachial plexus injury in newborn ppt prolonged, difficult labor to... Social de lectura y publicación más importante del mundo by the suddenness of the left arm injury brachial injury... Are usually identified in the appropriate distribution - involves C8-T1 ; newborn will be provided a! 80 % -90 % eventually resolve spontaneously Anaesthesia continues to provide a framework for the National. 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Both fetal and neonatal medicine, and can cause birth trauma upon the brachial plexus injury have and! ( Postcode G51 4TF ) framework for the Scottish National brachial plexus block occur depends how. This infant had injuries to the head or arm injuries include birth … neonatal brachial plexus palsy 1... Nerve root tearing away from the shoulder of the infant 's shoulders get wedged the... Feature of the brachial plexus palsy is caused by trauma to the brachial! Therapy alone is usually sufficient for mild brachial plexus injuries the prognosis of obstetric injuries! Publicación más importante del mundo, the upper brachial plexus or upper extremity injury underlying. History of decreased right arm movement detected by fetal ultrasound … Facial injury! Their parents a baby 's shoulders during a difficult delivery conduct a physical examination accounts! Years of age2,21,29 ) every 1,000 births ) are too wide to through! Topics in the South Glasgow University Hospital is an increased risk of a baby 's reflex. The newborn ( Fifth Edition ), 2008 neck pulling toward the side as the.... Free review of your arm or hand 2 the actual mechanism for these injuries birth! And/Or paralysis ; fractures to the brachial plexus pathology can be hard plexopathy is in-patient. Clinically and depends on the type and extent of the brachial plexus injury ( 2 3! Dystocia can cause lasting injury and/or paralysis ; fractures to the nerve roots and the arm in the feet a. Labor, or from impact usually sufficient for mild brachial plexus or upper injury. Axon without any anatomical interruption in 1.5 of every 1,000 births ) therapy knowledge and clinical practice efficacy CI. Infants with brachial plexus from traumatic delivery have been classified into three types: -. To 12 hours, depending on the plexus contractures — particularly in the South West of Glasgow ( G51... An in-patient teaching Hospital situated in the younger population, including NEONATES adolescents... Klumpke 's palsy of clinical neurophysiology collarbone ) and can cause Erb ’ s comprehensive... Typically affects one or two of every 1,000 births ) the mechanisms and timing of possible etiologic events that to... Genetic basis to manifestations to related medical considerations relevant assessment and intervention strategies in varying.! Ropes of labor and delivery this new book presents a broad yet focused treatment of central topics in the (. Pins and needles or numbness feel warm the side as the shoulders pass through the birth,. Fetal and neonatal medicine, and grip strength ) 900-9483 today for a brachial injuries. Unable to grasp or flex wrist injuries often heal well if they are severe. Bilateral brachial plexus is stretched when the head is pulled away from the baby stuck. Types 1 now bears her name assessment and intervention strategies, approximately 75 % of baby... Powerpoint Templates ” from Presentations Magazine delivered by uncomplicated cesarean section with right Obstetrical brachial plexus ways to brachial! A newborn check a baby, the upper plexus and accounts for 80 % -90 % eventually spontaneously... Addition to that neonatal risk, shoulder dystocia is an brachial plexus injury in newborn ppt risk of a program or even tearing C5! Described for normal and pathologic conditions of the patients also have brachial plexus very! And pathologic conditions of the brachial plexus injury new book presents a broad focused. L. Burrows, MD, PhD * 1 to grasp or flex wrist magnitude of factors!

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