D
David T
Guest
possible treatment.? For your case study discuss at least three conditions which are reasonable possible diagnoses for the symptoms given. Discuss which tests, if any, you would like to perform to help you get to a specific diagnosis. Discuss why you would perform these tests and how their results might aid you in rendering a diagnosis. Discuss why alternate diagnoses were rejected. Discuss the treatment most appropriate for your diagnosis and the prognosis for the patient. Discuss the defect leading to the pathology, if known, and how this defect leads to changes from the normal physiology.
Case Study:
A 28-year-old woman, estimated to be 39 weeks pregnant by her last menstrual period, presents to the emergency room in active labor. She has been followed by the high-risk obstetric service for the last two months, since a fetal ultrasound examination had shown oligohydramnios (diminished amniotic fluid) and very small fetal kidneys. Her pregnancy had been otherwise unremarkable, and she denied drug, alcohol, or tobacco use. She had two healthy children at home.
A 2800-gram female infant is born 5 hours later by vaginal delivery. Her size appropriate for the gestational age, and she has Apgar scores of 8 at 1 minute and 8 at 5 minutes. In the delivery room, it is noted that she has a unusual appearance with low-set ears, a flattened nasal profile, inner canthal folds beneath her eyes and a talipes equinovarus (clubfoot) deformity of the left foot. Several minutes after birth, she develops grunting and chest retractions. She remains dusky even with the administration of oxygen. She is intubated and transferred to the neonatal intensive care unit. A chest radiograph shows bilateral pneumothoraces, and chest tubes are placed. Despite aggressive ventilatory management, she expires two hours after birth. Autopsy reveals severe pulmonary hypoplasia and bilateral multicystic dysplasia of the kidneys.
Thanks
Case Study:
A 28-year-old woman, estimated to be 39 weeks pregnant by her last menstrual period, presents to the emergency room in active labor. She has been followed by the high-risk obstetric service for the last two months, since a fetal ultrasound examination had shown oligohydramnios (diminished amniotic fluid) and very small fetal kidneys. Her pregnancy had been otherwise unremarkable, and she denied drug, alcohol, or tobacco use. She had two healthy children at home.
A 2800-gram female infant is born 5 hours later by vaginal delivery. Her size appropriate for the gestational age, and she has Apgar scores of 8 at 1 minute and 8 at 5 minutes. In the delivery room, it is noted that she has a unusual appearance with low-set ears, a flattened nasal profile, inner canthal folds beneath her eyes and a talipes equinovarus (clubfoot) deformity of the left foot. Several minutes after birth, she develops grunting and chest retractions. She remains dusky even with the administration of oxygen. She is intubated and transferred to the neonatal intensive care unit. A chest radiograph shows bilateral pneumothoraces, and chest tubes are placed. Despite aggressive ventilatory management, she expires two hours after birth. Autopsy reveals severe pulmonary hypoplasia and bilateral multicystic dysplasia of the kidneys.
Thanks