Cephalhematoma and Hyperbilirubinemia

December 4, 2012

This child was born via emergency C-section and at age 2 weeks, had meconium ileus with perforation and DIC secondary to peritonitis. Enterococcus faecalis sepsis developed and terminal ileal resection was performed. Bilirubin levels remained elevated for 5 months.

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QUESTION 1:


    Courtesy of Robert Blereau. MD

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QUESTION 2:

This child was born via emergency C-section and at age 2 weeks, had meconium ileus with perforation and DIC secondary to peritonitis. Enterococcus faecalis sepsis developed and terminal ileal resection was performed. Bilirubin levels remained elevated for 5 months.

 

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QUESTION 3:

An 8-year-old child has intensely pruritic lesions on the thumbs, adjacent dorsum of the hand, soles of the feet, and navel. The patient is otherwise healthy and has no recent history of exposure to poison ivy.

Courtesy of Ted Rosen, MD


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QUESTION 4:

This boy presented with multiple asymptomatic facial "bumps" of recent onset that are characteristic of molluscum contagiosum.

Courtesy of Ted Rosen, MD  

 



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QUESTION 5:

A 13-year-old girl is seen because of a genital injury sustained when she fell off her bike. She is post-menarchal and denies any past or present sexual activity.

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ANSWER KEY:

Question 1. Answer: a

Question 2. Answer: c

Question 3. Answer: b

Question 4. Answer: c

Question 5. Answer: b