004 female intersex case 18-6-2009

Upload: drshahab2

Post on 06-Jul-2018

217 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/17/2019 004 Female Intersex case 18-6-2009

    1/16

    CASE PRESENTATION

  • 8/17/2019 004 Female Intersex case 18-6-2009

    2/16

    BIODATA

    o NAME ;MUSKAN

    o AGE ;4 DAYS

    o SEX ;FEMALEo WT ;3.2KG

  • 8/17/2019 004 Female Intersex case 18-6-2009

    3/16

    PRESENTING COMPLAINS

    Swell!" o! #o$% "&o! &e"o! '!(e #&$% A((o&)!" $o *o$%e& o+ #,#- $%,$ '%e

    !o$(e) , 'well!" ,$ $%e #o$% ')e o+ "&o!&e'e!$ ,$ $%,$ $*e o+ #&$%

    T%,$ ' *o&e o! &"%$ ')e ,' (o*,&e $ole+$ ')e.

    Swell!" !(&e,'e) ! '/e )0&!" (&- ,!))e(&e,'e) w%e! #,#- &e*,!' (,l* ,!)'lee-.

    Lo(,l G.P &e+e& $%e* $o ,e)' '0&"e&-OPD ,$ C1K.

  • 8/17/2019 004 Female Intersex case 18-6-2009

    4/16

    BIRT1 1ISTORY;

    UN #ooe) (,'e !o ,!$e!,$,l '$

    )o!e

    FTPN5D! %o'$,l ,$ %0# (%ow-C&e) **e),$el- ,+$e& #&$% !o&*,l

    w$!o %'$o&- o+ #&$% ,'%-6, ,!)

    !eo!,$,l 7,0!)(e

  • 8/17/2019 004 Female Intersex case 18-6-2009

    5/16

    5ACCINATIN;

    No$ )o!e

    FAIMLY 1ISTORY; No$ '"!+(,!$.

  • 8/17/2019 004 Female Intersex case 18-6-2009

    6/16

    O8E;

    4 ),-' ol) !+,!$ l-!" o! #e) %,) !(olo& '! ,!) "oo) ,($$-.

     18R;99: #e,$'8*!$

    R8R ;3 #&e,$%'8*!$TEMP;e? >e De%-;@eC-;@e;E)e*, @e

     ANT1ROPOMETIC MEASURES

    W$ ;3.2"F.O.C;3(*

    1T ;:(*

  • 8/17/2019 004 Female Intersex case 18-6-2009

    7/16

    S-'$e*( E6,*!,$o!;

    C1EST;Cle,&N5B No ,!- ,))e)

    'o0!)'

     ABDOMEN; 'o+$ !o! $e!)e& !o ,!-'(e&o*e",l-

    C5S;'9,!) '2 we&e ,0)#le

    CNS;I!$,($NEONATAL REFLEXSES ;we&e !o&*,l

  • 8/17/2019 004 Female Intersex case 18-6-2009

    8/16

    LOCAL EXAMINATION;

    BI >l,$e&,l 'well!" ! !"0!,l &e"o!

    e6$e!)!" )ow! $o $%e l,#,l +ol)'.

    R$ l,#,l +ol) '%ow' 'o*e '(&o$,l le

    &0"o'$-.No! $e!)e& !o&*o$%e&*(.

    Bo$% 'well!"' we&e &e)0(#le.

    Bo$% "o!,)' we&e ,l,#le ,!) )e'(e!)e)$o l,#o'(&o$,l +ol)'.

    P%,ll0' ' 0!)eeloe) &e'e*#le' (l$o&'.

  • 8/17/2019 004 Female Intersex case 18-6-2009

    9/16

  • 8/17/2019 004 Female Intersex case 18-6-2009

    10/16

  • 8/17/2019 004 Female Intersex case 18-6-2009

    11/16

    PRO5ISIONAL DIGNOSIS;

    B8L CONGENITAL INGUINAL

    1ERNIA WIT1 INTERSEX

  • 8/17/2019 004 Female Intersex case 18-6-2009

    12/16

    LABS;

    CBC ;NORMAL

    UCE;NORMAL

    U8S ;U$e&0' w$% (e!$&,l e!)o*e$&,l (,$-.

    No +o(,l *,'' 'ee!

    O,&e' !o$ )'$!($l- o0$l!e).

    Bowel loo' ,&e &o$&0)!" $%&o0"% !$e&!,l

    !"0!,l &!" !$o l,#, *,7o&,.

  • 8/17/2019 004 Female Intersex case 18-6-2009

    13/16

    OPERATI5E FINDIGS;

    BI >l,$e&,l !"0!,l %e&!o$o*- )o!e.

    Bo$% "o!,)' %,' "&o'' ,e,&,!(eo+ $e'$e'w$% e))-*' ,'

    )e+e&e!(e.

    Bo'- %,' $,e! +&o* #o$% "o!,)',!) 'e!$ +o& %'$o,$%olo"-.

     A $%( $0#0l,& '$&0($0&e w,' &e'e!$,lo!"')e $%e (%o&) o! $%e &"%$ ')eU$e&0'

  • 8/17/2019 004 Female Intersex case 18-6-2009

    14/16

    R"%$ "&o! e6lo&,$o!

  • 8/17/2019 004 Female Intersex case 18-6-2009

    15/16

    Le+$ "&o! e6lo&,$o!

  • 8/17/2019 004 Female Intersex case 18-6-2009

    16/16

    1ow $o &o(ee)