case-report-harlequin

case-report-harlequin - CASE REPORT CASE MODERATOR Asst...

Info iconThis preview shows pages 1–20. Sign up to view the full content.

View Full Document Right Arrow Icon
CASE REPORT CASE REPORT MODERATOR Asst Professor Dr ASHA BENAKAPPA
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
NAME: B\o Laksmamma SEX : Male AGE :NB(6hrs) IP NO :234620 DOA :27-1-05 at 9.30pm DOB :27-1-05 at 3.30pm DOE :28-1-05 at 8.30am
Background image of page 2
OBSTETRIC HISTORY OBSTETRIC HISTORY MA-27yrs ML-9yrs 2 degree consanguineous marriage LMP ? EDD ? EDDs—23-2-05 Hb:9gms%
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
G5 P4L1D3 1— Hospital delivery male NVx died 1day, 9yrs (resp difficulty) 3—home delivery male N Vx died 1day ,4yrs (resp difficulty) 4—Hospital delivery male LSCS extracted with similar abnormal skin lesion ,died 2days(resp difficulty) 5 present one
Background image of page 4
1 ANC tumkur Pvt hospital 2ANC VVCH 71\2 mon amennorhea T1 –N\o fever ,Rash T2-N\o PIH ,quickening 5month T3-H\o leaking P\V DOA to VVCH 25-1-05at 11.35am because of leaking P\v 2 doses inj Betnesol given H\o Labour pains 27-1-05 at 6am 2USG scan done
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
USG 11/11/04:Single live fetus 25+/-7 days moderately reduced liqour .Fetus shows narrow thorax & protruberant abdomen ? Asphyxiated thoracic dystrophy. USG 14/12/04 :Single live fetus 27+/-1week with breech in lower pole. Delivered live male baby 27-1-05 at 3.30pm breech BCIAB shifted NICU
Background image of page 6
7yrs 2
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Wt-2kg HC-32cms CC-28cms Length –45cms RR-60 /min HR-130/min Temp-N CFT <2sec .P.I—2.19 DS-6 SS-5
Background image of page 8
Head :hair loss hyperkeratotic scale Eyes: Severe ectropion is present. The free edges of the upper and lower eyelids are everted. ( ectropion) Conjuctival congestion
Background image of page 9

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Ears: Pinna --small and rudimentary. Nose:Flattened Lips: Severe traction on the lips ---- eclabium and a fixed, open mouth.
Background image of page 10
Extremities o Limbs are encased in the thick hyperkeratosis, resulting in flexion contractures of the arms, the legs, and the digits. o Limb motility is poor . o Circumferential constriction of a limb, leading to distal swelling . o Hypoplasia of the fingers, the toes, and the fingernails
Background image of page 11

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Skin: Severely thickened skin with large, shiny plates of hyperkeratotic scale. Deep erythematous fissures separate the scales . TESTES:Undescended
Background image of page 12
Weak cry. Activity :minimal NBR reflexes-Sucking-weak Moro—absent Grasp –absent Rooting-absent
Background image of page 13

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
RS:Grunt tachypneoa SCR+ ICR + B\l air entry+ CVS:S1 S2+ PA: no organomegaly
Background image of page 14
PHOTOS
Background image of page 15

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
VIDEO VIDEO
Background image of page 16
PRETERM (32+\-2)WEEKS AGA LBW RDS HARLEQUIN ICHTHYOSIS
Background image of page 17

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Skin Biopsy Skin Biopsy Marked Hyperkeratosis with follicular plugging evident at places.Dermis is thinned out with minimal inflamation. RESTRICTIVE DERMOPATHY
Background image of page 18
HARLEQUIN ICHTHYOSIS SYNONYMS: Ichthyosis congenita, keratosis diffusa fetalis, harlequin fetus . It was described by OLIVER HART in his diary 1750 ,published in 1896. It was invariably associated with stillbirth or
Background image of page 19

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 20
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 01/02/2012 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

Page1 / 52

case-report-harlequin - CASE REPORT CASE MODERATOR Asst...

This preview shows document pages 1 - 20. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online