PEDIATRICS

Thumb Hypoplasia

Dec 15, 2016 by in PEDIATRICS Comments Off on Thumb Hypoplasia

FIGURE 10-1 Clinical photograph of a Blauth type IIIA hypoplastic thumb. Note lack of IP joint skin crease and thenar muscle bulk. CLINICAL QUESTIONS What are the characteristic clinical features…

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Aphalangia and Amniotic Band Syndrome

Dec 15, 2016 by in PEDIATRICS Comments Off on Aphalangia and Amniotic Band Syndrome

FIGURE 9-1 Clinical photograph of a hand with amniotic band syndrome. Arrow points to the second web-space sinus tract with distal syndactyly. Congenital amputation and constriction band noted on third…

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Radial Longitudinal Deficiency

Dec 15, 2016 by in PEDIATRICS Comments Off on Radial Longitudinal Deficiency

FIGURE 13-1 Clinical photograph of radial longitudinal deficiency with a rudimentary pouce flottant. Evaluation of the radial deficiency starts at the chest wall and shoulder. Entire upper limb involvement does…

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Pollicization

Dec 15, 2016 by in PEDIATRICS Comments Off on Pollicization

FIGURE 11-1 A: Clinical photograph of pouce flottant. B: Radiograph of same patient without proximal metacarpal, no CMC joint. This was treated with a pollicization. CLINICAL QUESTIONS What systemic conditions…

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Macrodactyly

Dec 15, 2016 by in PEDIATRICS Comments Off on Macrodactyly

FIGURE 7-1 Macrodactyly of both the long and, less so, the index finger with divergence of the digits. An MRI of this patient revealed lipofibromatosis of the median nerve at…

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Trigger Digits

Dec 15, 2016 by in PEDIATRICS Comments Off on Trigger Digits

FIGURE 12-1 Surgical technique of trigger thumb release. A: Clinical photograph of a pediatric trigger thumb. B: Prior to surgical release, marks are made on either side of the palpable…

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Central Polydactyly

Dec 15, 2016 by in PEDIATRICS Comments Off on Central Polydactyly

FIGURE 5-1 Photograph of father with untreated central synpolydactyly. CLINICAL QUESTIONS Under which category is central polydactyly classified? What are the genetics of this malformation? Are there associated syndromes or…

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Eye

Dec 15, 2016 by in PEDIATRICS Comments Off on Eye

Figure 16–1. Leukocoria of the left eye caused by retrolental membrane (persistent hyperplastic primary vitreous or persistent fetal vasculature). ESSENTIALS OF DIAGNOSIS & TYPICAL FEATURES Significant refractive errors (myopia, hyperopia,…

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Infections: Viral Rickettsial

Dec 15, 2016 by in PEDIATRICS Comments Off on Infections: Viral Rickettsial

Table 40–2. Diagnostic tests for viral infections. Table 40–3. Some red rashes in children. RESPIRATORY INFECTIONS Many viral infections can cause either upper or lower respiratory tract signs and symptoms,…

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Infections: Parasitic Mycotic

Dec 15, 2016 by in PEDIATRICS Comments Off on Infections: Parasitic Mycotic

Table 43–2. Some parasitic infections rarely seen in developed regions. Selection of Patients for Evaluation The incidence of parasitic infections varies greatly with geographic area. Children who have traveled or…

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