icandoittoo
Forum Senior
Topics: 20
Posts: 73
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A neonate was born prematurely after 28 weeks gestation toa 22 y.o. primigravida. The baby was initially stable but then became severely hypoxemic and developed seizure activity. 8 months later,the infant is diagnosed with an obstructive hydrocephalus. This clinical picture resulted from which of the following conditions?
a.-Germinal Matrix Hemorrhage
b.-Down Syndrome
c.-Kernicterus
d.-Congenital CMV infection
e.-Medulloblastoma
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 634
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A
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| SmokyWaters
Forum Elite
Topics: 6
Posts: 447
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yeah I guess its A...I have read a case with the similar presentation after 6 months  lemme write what I remember..
there was this infant with seizures...
breast fed
had hemarthrosis and focal neurological deficits...
there wwas periorbital puffiness...a HARD SIGN ...although adult hypothyroidism and Post strep GN also has it...but its ecchymotic...
anyways...somethin about germinal matrix bleed...
oh I forgot to tell..the reason was VITAMIN K in that case .... hope the same rason applies over here...
prematurity itself is a risk factor for this but 8 months later...defnitely its not prematurity issue...
and breast feedin lacks vit k and d
anyways...so germinal matrix is located in subependyma of ventricles...I am talkin right now about intrauterine stage...its quite metabolically active...thin blood vessel walls ... had to make up the glial cells and neurones...ACA, recurrent artery of habeuner and terminal branches of striate arteries supply it....internal cerberal vein drains to vein of GLEN...
sorry about the spelllings... 
sooo....vit K deficiency causes decreased synthesis of factor 2, 7, 9, 10 protein C S...
leads to INTRAVENTRICULAR HEMORRHAGE...I duno why they used this word...its not there in 8 months old...
icandoittoo...I dunno from where you write these questions...but I can surely tell..the questions arent of good quality...sorry for bein so direct cheers
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