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Modified Sarnat Criteria Encephalopathy severity Hours from birth Record severity each hour Record actual time of evaluation and Assessment severity for each sign (n/gentle/mod/s or Criteria N/A) every hour 1h 2h 3h 4h 5h 6h Normal (N) Mild (Mild) Moderate (Mod) Severe (S) Level of Alert/arouses Hyperalert Lethargic Stupor or coma consciousness appropriately Spontaneous Normal or Normal Decreased exercise No exercise exercise elevated Distal flexion, Posture Normal Normal complete Decerebrate extension Normal or Hypotonia Tone* Normal elevated in trunk Flaccid (focal or common) and extremities Normal or Suck reflex Normal Weak suck Absent incomplete suck Strong, low Moro reflex Strong Incomplete Moro Absent threshold Pupils deviated/ Pupils equal and Pupils equal and Pupils constricted; dilated/ Autonomic reacting to mild; reacting to gentle; bradycardia or non-reactive; system regular heart price normal heart fee periodic/irregular variable heart rate and respirations and respirations breathing or apnoea *Assess tone in each limbs and trunk/neck. Features of dry eye questionnaires provide a extra built-in view of the clinical situation a. A microlumen (L) is fashioned by coalescence of apical vesicles or vacuoles (av) that accumulate in the cytoplasm of both cells androgen nuclear hormone receptor purchase 5 mg fincar with visa.
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