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ICU and You  ·  Superpuzzle Series  ·  Number 49

The postneonatal infant

Twenty clues  ·  companion to Mind Map #32 and Aphorism #36

What these puzzles are for

The crossword is a pretext. Twenty clues is not a syllabus and nobody learns intensive care from a grid. What a puzzle does well is hold your attention on a word for a few seconds longer than a list would, and put a fact beside it while you are looking.

So the clues are deliberately mixed. Some are practice points you should already know and may not have thought about lately. Some are pieces of physiology. Some are history — a person, a case, a year — because knowing where a thing came from makes it stick. One or two are simply odd, and those are in here on purpose: curiosity is the thing that makes the rest of it go in.

Several clues teach rather than test: you will see the answer immediately and learn something getting there. That is the intention, not a failure of construction.

There is a fill it in on screen if you would rather work that way, and a challenge at the foot of the page.

The printable version — grid and clues, nothing to tap. Print it, or fill it in with a pen at the desk.

9414161131811562121972010173158

On a phone, scroll the grid sideways. It prints cleanly at A4 landscape.

Fill it in on screen  →

Across

  1. 4A rash that does not blanch is this bloodstream infection until proven otherwise (Australian spelling)
  2. 9A bruise in a baby not yet able to do this is a red flag
  3. 10Wheeled seat that Canada, alone in the world at the time, banned outright in April 2004 after nearly two thousand injuries in a twelve-year period, but not banned everywhere — baby ___
  4. 11Sleep comforter — Australian and British term — associated with a reduced risk of sudden infant death
  5. 12Position for every sleep, every time — and no, the side is not an acceptable alternative
  6. 14Sweet food that must not be given before twelve months, including on a dummy, because of Clostridium botulinum spores
  7. 16Soft spot that closes between nine and eighteen months, and sometimes bulges when it should not
  8. 18Leading cause of hospital admission in the first year of life
  9. 19In a sick infant, a slow heart rate means this until proven otherwise
  10. 20Virus behind most bronchiolitis, by its initials

Down

  1. 1Membrane under the upper lip; a torn one is a classic marker of inflicted injury
  2. 2Estimated weight in kg for an infant under one = (age in months + 9) divided by this
  3. 3Haemorrhages sought on fundoscopy in abusive head trauma
  4. 5Bowel telescoping into bowel; ultrasound is the first-line investigation
  5. 6Nineteenth-century verdict for cot death, still found on old certificates
  6. 7Chest wall property that leaves an infant so dependent on the diaphragm
  7. 8What the young or ex-preterm infant with bronchiolitis may do — and the reason to admit
  8. 13Normal startle reflex of infancy, described in 1918, present at birth and gone by six months — its persistence is the abnormality
  9. 15Fever of five days or more with four of: red eyes, cracked lips, rash, swollen hands, enlarged cervical nodes — and coronary aneurysms if it is missed. ___ disease
  10. 17Route to use when the veins have failed — drilled, not cannulated

Sending your answers

Finish it, or get as far as you get — partial sets are welcome and are how I find out which clue was unfair.

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