CURRENT MEDICAL DIAGNOSIS: _SIDS (Sudden Infant Death Syndrome)_____________________________________________________________

DEINITION O CURRENT MEDICAL DIAGNOSIS: Sudden! une"#$a%ned death of an %nfant under & year of a'e for une"#$a%ned rea(on(
SOURCE: __D%(ea(e( and D%(order(______________________________________________________________________
)AT*O)*+SIOLOG+:
Mo(t ,ommon ,au(e of death %n %nfant( under -
month( o$d. *ea$thy %nfant #ut to ($ee#! $ater
found dead %n ,r%/. Une"#$a%ned death of an %nfant
under & year o$d 0%th rea(on( that rema%n
une"#$a%ned e1en after auto#(y. 2oy( affe,ted
more than '%r$( and Afr%,an Amer%,an( and Nat%1e
Amer%,an( ha1e h%'her %n,%den,e.


ETIOLOG+:
Un3no0n. )o((%/$e ,au(e(: Re(#%ratory %nfe,t%on
and $on' 4T (yndrome! a ,ard%a, arrhythm%a.
R5: )reterm or $o06/%rth 0e%'ht! ra,e: Amer%,an
Ind%an( and A$a(3a Nat%1e %nfant(! ma$e(!
/et0een a'e( 768 month(! ($ee#%n' %n #rone or
(%de6$y%n' #o(%t%on! /ed (har%n'! #aterna$ (mo3%n'
or ETO* u(e! $oo(e /edd%n'! #%$$o0(! (oft
($ee#%n' (urfa,e(! o1erheat%n'.
__________________

CLINICAL MANIESTATIONS
(S%'n( 9 Sym#tom():
*%(tory of :near m%((; %( 0arn%n' (%'n. May ha1e
a/norma$%t%e( (u,h a(: mu(,$e tone ((hou$der
hy#oton%a e(#)! a#nea u# to &< (e,! %n,rea(ed
re(#%ratory rate(! ,o$d (ym#tom( a 0ee3 to a fe0
day( /efore SIDS. *%(tory of ALTE( = A##arent $%fe6
threaten%n' e1ent(.
Card%o#u$monary arre(t 0%th ,$%n%,a$ f%nd%n'( of
e1%den,e of (tru''$e! ,han'e %n #o(%t%on dur%n' ($ee#!
and the #re(en,e of frothy! /$ood6t%n'ed (e,ret%on(
from the mouth and no(e. No re#ort( of ,r%e( heard
dur%n' the n%'ht.
LA25RADIOGRA)*IC INDING USUALL+
)RESENT:
No d%a'no(t%, te(t. or (u(#e,ted ,a(e(! fu$$
d%a'no(t%, %n1e(t%'at%on 0%th C2C! /$ood ,hem%(tr%e(!
2UN! A2G! C>R! GI (tudy! ECG (hou$d /e
#erformed.





MEDICAL MANAGEMENT
(In,$ude Treatment( 9 Med%,at%on():
No med%,a$ mana'ement for SIDS6 on$y
#re1entat%1e mea(ure( to /e tau'ht to #arent(.
After SIDS death! thorou'h %n1e(t%'at%on mu(t
/e done. O/ta%n h%(tory from ,areta3er of
#re,%#%tat%n' fa,tor(! R5(! t%m%n'! ($ee#50a3e
#attern(! #o(%t%on%n'! and mattre(( ty#e.
DISC*ARGE )LANNING
(C$%ent Edu,at%on):
)re1entat%1e mea(ure(: %nfant( on /a,3 to
($ee#! f%rm mattre(( 0%th no (oft /edd%n' or
(tuffed an%ma$( %n /ed! a1o%d o1erheat%n' room!
no materna$ ETO*5dru' u(e or a$$o0%n'
#a((%1e %nha$at%on of ,%'arette (mo3e /y %nfant.
*ome mon%tor%n' #o((%/$y for %nfant( 0%th
ALTE( or %f #re1%ou( (%/$%n' d%ed from SIDS.
Tea,h #arent( %nfant C)R. )a,%f%er u(e may
redu,e SIDS. No o1er/und$%n' /a/%e(. *e$#
#arent( ,o#e 0%th $o(( of /a/y6 refer to (u##ort
(er1%,e( %f needed. A((ure #arent( %t %( not the%r
fau$t and SIDS %( un#red%,ta/$e. Tea,h #arent(
a/out home mon%tor%n' for (u,,eed%n' ,h%$dren
%f needed.