8/12/2019 Illustrated Pediatrics 2

1/19

8/12/2019 Illustrated Pediatrics 2

2/19

K E R N I C T E R US

deposition of unconjugatedbilirubin

opisthotonus

neck retraction

clenched fists

arms rotated inward

later athetoid cerebral palsy

8/12/2019 Illustrated Pediatrics 2

3/19

S C H E U E R M A NN K Y P H O S I S

khyphotic angulationpresent on forward bending

adolescence with back pain

xray show irregularities ofanterior vertebral growth

8/12/2019 Illustrated Pediatrics 2

4/19

S A C R O C O C C EG E A L

T E R AT O M A

commonest tumourpresenting in the neonatalperiod

benign and excised

malignant after two months

8/12/2019 Illustrated Pediatrics 2

5/19

S A C R A L A G E N E S I S

associated with maternal

diabetes associated with

gastrointestinal andgenitourinary abnormalities

weakness of pelvicmusculature

8/12/2019 Illustrated Pediatrics 2

6/19

S P R E N G E L A N O M A L Y

left scapula is high, smalland medially rotated

scapula hypoplastic and

muscles weak

8/12/2019 Illustrated Pediatrics 2

7/19

M Y E L O M E N G OC E L E

lumber region - sac likestructure

abnormalities of lowerlimbs

bladder and boweldysfunction

hydrocephalus

8/12/2019 Illustrated Pediatrics 2

8/19

R I C K E T S

enlargements ofcostochondral junction

8/12/2019 Illustrated Pediatrics 2

9/19

8/12/2019 Illustrated Pediatrics 2

10/19

P O L A N D A N O M A L Y

boys

right side

hypoplasia of pectoralismajor

syndactly

8/12/2019 Illustrated Pediatrics 2

11/19

H A R R I S O NS U L C U S

horizontal sulcus on thelower part of chest wall

rickets and chronic

respiratory illness

8/12/2019 Illustrated Pediatrics 2

12/19

A S T H M A

barrel shaped chest

8/12/2019 Illustrated Pediatrics 2

13/19

C H R O N I C U P P E R A I R W A YO B S T R U C T I O N

secondary to tonsils andadenoids

may lead to osa, day time

sleepiness, cor pulmonale

8/12/2019 Illustrated Pediatrics 2

14/19

P E C T U SC A R I N AT U M

often notable after puberty

avoid surgery

8/12/2019 Illustrated Pediatrics 2

15/19

N O O N A NS Y N D R O M E

pectus carinatum superiorlyand pectus excavatuminferiorly

webbing of neck

short stature, cardiacabnormalities,hypertelorism,low setears,downslanting palpebralfissures and ptosis

8/12/2019 Illustrated Pediatrics 2

16/19

A C C E S S O R YN I P P L E

minor anomaly in bothsexes

mistaken for nevei

no treatment

8/12/2019 Illustrated Pediatrics 2

17/19

P E C T U SC A R I N AT U M

isolated abnormality

results in chronicrespiratory obstruction andrickets

seen in turner and marfansyndrome

no surgical treatment

8/12/2019 Illustrated Pediatrics 2

18/19

P R E M AT U R ET H E L A R C H E

isolated breast development inchildren less then 3 years

no other evidence of puberty orgrowth acceleration

menarche at normal age

u/s shows ovarian cysts but

ovary and uterine size normal followup to monitor growth and

other evidence of precociouspuberty

8/12/2019 Illustrated Pediatrics 2

19/19