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Shoulder Presentation

Malpos Fetus Shoulder Present


Presentation

  • […] or abdomen can also lead to a shoulder presentation.[en.wikipedia.org]
  • Face Presentation head is hyper extended presenting part is face - denominator is chin(mentum) between glabella & chin presenting diameter is submentobregmatic (9.5cm) 14.[slideshare.net]
  • Presentation Time Session Time Oral Presentation 5 min, Q&A 3 min Short Talk Presentation 3 min, Q&A 2 min *The presentation time for other sessions will be announced individually.[44jss.com]
  • Urine may contain albumin, acetone, blood prognosis in neglected shoulder presentation -fetal death -rupture of uterus (spontaneous OR traumatic dt version trial) Tx of neglected shoulder presentation -immediate evacuation of the uterus by CS w the least[quizlet.com]
Collapse
  • On occasion, if the baby was macerated and small, it collapsed sufficiently to be delivered. The shoulder presentation was a feared obstetrical complication. In 1690 Justine Siegemundin, a German midwife, published Die Kgl.[en.wikipedia.org]
  • AMNIOTIC FLUID EMBOLISM Definition Passage of amniotic fluid into the maternal circulation leads to sudden collapse during labor but can only be confirmed at necropsy.[dennismunozrn.wordpress.com]
Scleral Icterus
  • Physical examination revealed a disheveled man, scleral icterus, palmar erythema, and abdominal shifting dullness. Neurological exam was significant for right arm weakness.[acgcasereports.gi.org]
Jaundice
  • Late (cold) phase: there are; cold and clammy skin, mottled cyanosis, purpura, jaundice, progressive mental confusion, coma.[dennismunozrn.wordpress.com]
Palpitations
  • […] easy to occur. immediate evacuation of the uterus by CS with the least intrauterine manipulations decapitation internal version is absolutely contraindicated Back for ant or post and head for lt or rt Inspection: abdomen looks broader from side to side palpitation[quizlet.com]
  • Pressure symptoms: dyspnoea, palpitation and edema of the lower limbs. Congenital anomalies: double its incidence in singleton pregnancy. During labor: Complications of malpresentations: In 45% of cases both twins present by head.[dennismunozrn.wordpress.com]
Cyanosis
  • The infant’s head stuck to the mother’s vulva, cyanosis develops, indicating fetal suffering. These signs indicate the existence of fetal shoulder dystocia.[popline.org]
  • Late (cold) phase: there are; cold and clammy skin, mottled cyanosis, purpura, jaundice, progressive mental confusion, coma.[dennismunozrn.wordpress.com]
Decreased Radial Pulse
  • Arterial injury may be associated with decreased radial pulse. Lateral chest wall ecchymosis with associated axillary hematoma and bruit may be noted on physical examination. Angiography should be considered with any brachial plexus injury.[emedicine.medscape.com]
Cracked Lips
  • General examination It shows signs of maternal distress as: exhaustion, high temperature (³ 38oC), rapid pulse, signs of dehydration: dry tongue and cracked lips.[dennismunozrn.wordpress.com]
Palmar Erythema
  • Physical examination revealed a disheveled man, scleral icterus, palmar erythema, and abdominal shifting dullness. Neurological exam was significant for right arm weakness.[acgcasereports.gi.org]
Hip Pain
  • We provide a wide variety of orthopedic services for our patients, specializing in joint replacement, sports … Healing Hip Pain: Q&A with Dr. Haloman Dr.[prolianceorthopedicassociates.com]
Breast Mass
  • mass and metastasis to the nasal septum. 5,6 Indeed, extrahepatic metastases to the humeral shoulder, chest wall, and bony lesions are exceedingly rare, as only a handful of cases have been reported. 3,7 Traditionally, a few systems have been widely[acgcasereports.gi.org]
Fear
  • The shoulder presentation was a feared obstetrical complication. In 1690 Justine Siegemundin, a German midwife, published Die Kgl. Preußische und Chur-Brandenburgische Hof-Wehemutter.[en.wikipedia.org]
  • If it is breech: caesarean section is safer for fear of locked twins, although vaginal delivery may pass without this complication.[dennismunozrn.wordpress.com]

Workup

  • Results of a complete metastatic workup were negative for other sites of involvement.[consultant360.com]
Hepatocellular Carcinoma
  • Bone metastases as the initial presentation of hepatocellular carcinoma: Two case reports and a literature review. Ann Hepatol . 2014;13(6):838–42. Pons F, Varela M, Llovet JM. Staging systems in hepatocellular carcinoma.[acgcasereports.gi.org]

Treatment

  • Aris Papageorghiou is a Consultant in Obstetrics and Fetal Medicine at St George's Hospital, London, a tertiary referral hospital for fetal medicine, invasive diagnosis and treatment.[books.google.com]
  • Glucosamine and chondroitin sulfate [Benefits are equivocal] Steroid Injections Hyaluronic acid injections [Viscosupplementation] Surgical Treatment Arthroscopic Treatment The surgeon removes unwanted material and smoothes off the joint, hopefully providing[boneandspine.com]
  • […] such as sorafenib, which has been shown to be the only treatment regimen that extends survival. 2,9 Disclosures Author contributions: All authors contributed equally to the preparation of the manuscript.[acgcasereports.gi.org]
  • Results of treatment of luxatio erecta (inferior shoulder dislocation). J Shoulder Elbow Surg. 2009 Oct 15. [Medline].[emedicine.medscape.com]
  • Previous treatment for the recurrent instability as well as the effectiveness of this treatment are documented. Anterior dislocation The acutely dislocated shoulder is usually very painful. Muscles are in spasm in an attempt to stabilize the joint.[orthop.washington.edu]

Prognosis

  • […] and take into account performance status, tumor burden, and extent of liver dysfunction. 2 Clinically, patients with extrahepatic metastases tend to have a poor prognosis, although even patients with advanced or metastatic disease may benefit from newer[acgcasereports.gi.org]
  • Urine may contain albumin, acetone, blood prognosis in neglected shoulder presentation -fetal death -rupture of uterus (spontaneous OR traumatic dt version trial) Tx of neglected shoulder presentation -immediate evacuation of the uterus by CS w the least[quizlet.com]
  • While the prognosis has improved over time, further studies are needed to improve long-term survival, particularly of persons with metastatic disease.[consultant360.com]
  • Prognosis Symptoms can persist for 18 months to three years or more.[patient.info]
  • Deep transverse arrest  The head is deep into the cavity, the sagittal suture is placed in the transverse bipsinous diameter and there is no prognosis in descent of the head even after ½ -1 hour following full dilatation of cervix.  May be end result[de.slideshare.net]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Types &Etiology of brow Transient brow(2RY) • During conversion of vertex to face. Persistent brow(1RY) • Extremely rare Etiology: same as face 26.[slideshare.net]
  • Fetal: malpresentations ;, malpositions, congenital anomalies, macrosomia Maternal: bony or soft tissue masses in maternal pelvis Management Cesarean section for any maternal etiologies or congenital anomalies Compound presentation If the head is engaged[amboss.com]
  • SECONDARY POSTPARTUM HAEMORRHAGE Etiology Retained parts: of the placenta, membranes, blood clot or formation of a placental polyp.[dennismunozrn.wordpress.com]
  • Glenohumeral Dislocation Arthropathy: Etiology, Diagnosis, and Management. J Am Acad Orthop Surg. 2018 Oct 1. [Medline]. Pescatore R, Nyce A. Managing Shoulder Injuries in the Emergency Department: Fracture, Dislocation, and Overuse.[emedicine.medscape.com]

Epidemiology

  • Epidemiology of Shoulder Dislocations in High School and Collegiate Athletics in the United States: 2004/2005 Through 2013/2014. Sports Health. 2018 Jan/Feb. 10 (1):85-91. [Medline]. Slattery C, Kovalenko B, Verma K.[emedicine.medscape.com]
  • Epidemiology Most commonly, it affects ages 40-65 years; the median age is 50-55 years. It affects around 3% of the adult population. It is more common in women.[patient.info]
  • Epidemiology And Etiology James Ewing first described the condition that now bears his name in 1921. 1 Ewing sarcoma is the second most common malignant bone tumor in children, after osteosarcoma. 2-4 Peak incidence is in the second decade of life, with[consultant360.com]
  • Coracohumeral ligament Coracohumeral ligament All structures involved in anterior or posterior instability can be affected Superior anterior labrum Long head of biceps Subscapularis Epidemiology 98% of primary dislocations occur anteriorly. [7] The rate[physio-pedia.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology and Causes for shoulder Joint [ Detailed pathophysiology of osteoarthritis ] The degeneration of cartilage, the covering layer over the joints results in thinning and irregularity of the cartilage.[boneandspine.com]

Prevention

  • Updated health promotion content includes Health Promotion boxes focusing on preventive strategies for achieving prenatal wellness, health during pregnancy, postnatal health, and pediatric illness prevention and wellness -- including the complete immunization[books.google.com]
  • Reduce the extremity if Prolapsed extremity prevent descent of fetus gently reduce by pushing it upward above the pelvic brim and hold it until a contraction pushes the head into the pelvis.[slideshare.net]
  • This study confirms high incidence of such serious preventable obstetrical problem. Poor antenatal and intranatal care, poor provision of health service and low socio-economic standard are the main factors contributing to uterine rupture.[ncbi.nlm.nih.gov]
  • This type of situation is rather rare (2%) and occurs more often in multiple births because of tone loss in the uterine-abdominal walls, which prevents the fetus from shifting to a longitudinal position.[brunelleschi.imss.fi.it]

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