Infant With Right Leg Swelling, Tenderness, and Decreased Range of Motion
| Autor: | Nidhi Gupta, Beena G. Sood, Sreenivas Karnati, Riham Alwan |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Child abuse
Pediatrics medicine.medical_specialty Evening medicine.diagnostic_test business.industry media_common.quotation_subject Vital signs Physical examination Emergency department Breech presentation Social history (medicine) Pediatrics Perinatology and Child Health medicine Girl business media_common |
| Zdroj: | NeoReviews. 13:e455-e458 |
| ISSN: | 1526-9906 |
| DOI: | 10.1542/neo.13-7-e455 |
| Popis: | A 9-day-old girl, delivered at 39 weeks’ gestation via cesarean delivery for footling breech position, presented with right leg swelling, tenderness, and decreased range of motion since birth (Figure 1). ### Prenatal and Birth Histories The patient was afebrile, nippling well, and alert after delivery. However, patient's parents stated that her right leg was “swollen and not moving” since birth. Mother stated infant became very fussy during leg manipulation and diaper changes. Parents say they spoke to the nurse at the birth hospital and were told this is a normal result of breech presentation. The parents deny any history of trauma. The mother denies the infant has experienced any vomiting, diarrhea, bloody stools, apnea, or seizure activity. Parents state they took the child to her pediatrician on day 7 after birth for her newborn check and told the pediatrician about the leg. They were instructed to go to the emergency department. Parents went to emergency department that evening, and the child was admitted for overnight observation and then transferred to Children’s Hospital of Michigan NICU the next day to investigate child abuse. ### Social History Patient's parents were living with paternal grandmother. Patient's 30-year-old father stated that he has 3 other children (ages 6, 8, and 11 years), none of whom he has custody. Patient's father states he lost custody of his children because he was “young.” ### Vital Signs ### Physical Examination |
| Databáze: | OpenAIRE |
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