Presentation
The history of prolonged labor or difficult delivery may be present in many cases. The presentation usually is asymptomatic neck swelling or mass in neonates. In some cases, torticollis may be present. [jcnonweb.com]
We report herein two cases of spontaneous neck haematoma in a 19-month-old girl and a 30-month-old boy who initially presented with neck swelling. Case presentation Case 1. [bmcpediatr.biomedcentral.com]
An 8-page color insert presents over 40 photos that visually demonstrate key assessment findings for ear, skin, and other conditions. NEW! [books.google.com]
It typically presents a few weeks after birth. Presentation is usually with torticollis and is most frequently related to birth trauma (e.g. forceps delivery) or malposition (e.g. breech) in the womb. [radiopaedia.org]
No evidence of trauma is present on the face. Physical findings for peripheral nerve injuries are asymmetrical facies with crying. Sometimes evidence of forceps marks is present. [emedicine.medscape.com]
Entire Body System
- Weakness
For the spinal accessory nerve (CN XI), this would result in weak actions of sternocleidomastoid and trapezius muscles. [premedicaluniversity.com]
Other birth injuries include nerve damage, such as brachial plexus injury and facial nerve palsy, which may cause temporary muscle weakness or paralysis. [amboss.com]
[…] intracranial hemorrhaging Brain infection; Jaundice; Anemia; Brain damage, including developmental delay, seizure disorders, paralysis, mental retardation and Cerebral Palsy; Hypotension; Brain death; Labored breathing; Sluggishness; Convulsions; One-sided weakness [thecplawyer.com]
The infant may survive with weakness and hypotonia, and the true etiology may not be recognized. A neuromuscular disorder or transient hypoxic ischemic encephalopathy may be considered. [emedicine.medscape.com]
Motor weakness and muscle wasting may be present, as well as sensory abnormalities. Patients may also complain of neck pain and/or radicular symptoms, so careful evaluation must be done to determine the exact cause of symptoms. [clinicalgate.com]
- Collapse
In most cases, there are no symptoms, but in larger hemorrhages, symptoms include a bluish color to the skin, apnea (breathing problems) or even sudden collapse. [healthpages.org]
Signs and symptoms of intraperitoneal bleed Bleeding may be fulminant or insidious, but patients ultimately present with circulatory collapse. [emedicine.medscape.com]
Annular tears and biochemical changes in the cervical disc can lead to decreased water content, shrinking or herniation of nuclear pulposus tissue, and disc collapse. [clinicalgate.com]
Collapse all Expand all Contexte Le syndrome de Frey se caractérise par des bouffées de chaleur passagères et parfois une sudation au niveau du visage dans la région du nerf auriculotemporal. [cochranelibrary.com]
- Anemia
The extent of hemorrhage may be severe enough to cause anemia and hypotension, although this is uncommon. The resolving hematoma predisposes to hyperbilirubinemia. [emedicine.medscape.com]
The newborn may need testing for anemia or hyperbilirubinemia as a result of the hematoma being absorbed. Cephalhematoma usually requires no special treatment and resolves on its own over a few weeks. [healthpages.org]
Symptoms of a hematoma or intracranial hemorrhaging Brain infection; Jaundice; Anemia; Brain damage, including developmental delay, seizure disorders, paralysis, mental retardation and Cerebral Palsy; Hypotension; Brain death; Labored breathing; Sluggishness [thecplawyer.com]
- Fatigue
[…] and Invisible Illness - Exploring the fatigue that accompanies depression, Sjogren's syndrome and other invisible illnesses. [pinterest.cl]
Pain and fatigue should guide the progression. Once discharged from the hospital, the patient will be instructed to protect the cervical region. [clinicalgate.com]
- Ecchymosis
The accepted alternative is a cesarean delivery. [3] Injuries with a favorable long-term prognosis Soft tissue injuries with a favorable long-term prognosis include the following (see the image below): Abrasions Erythema petechia Ecchymosis Lacerations [emedicine.medscape.com]
Respiratoric
- Dyspnea
Dyspnea on exertion 17. When interviewing the parents of a 2-year-old child, a history of which of the following illnesses would lead the nurse to suspect pneumococcal meningitis? a. Bladder infection b. Middle ear infection c. Fractured clavicle d. [nclexonline.com]
He developed progressive dyspnea over the next two days and required intubation and mechanical ventilation for hypoxic respiratory failure. [bjid.org.br]
- Rales
[…] deficits suggests posterior fossa tumor or spinal epidural hematome Fever, pharyngitis, tachypnea, tenderness over internal jugular vein suggests Lemierre’s Point cervical spine tenderness in fractures, subluxation, diskitis, osteomyelitis Tachypnea and rales [urgentcarepeds.org]
Gastrointestinal
- Constipation
Massage Forward parotid gland structures - Google Search Cleansing Foods Health Tips Health And Fitness Wellness Fitness Health Articles Health Benefits Colon Health Gut Health Being Healthy Forward Colon cleansing maintains regularity and prevents constipation [pinterest.cl]
Cardiovascular
- Cyanosis
Cyanosis d. Dyspnea on exertion 17. When interviewing the parents of a 2-year-old child, a history of which of the following illnesses would lead the nurse to suspect pneumococcal meningitis? a. Bladder infection b. Middle ear infection c. [nclexonline.com]
Musculoskeletal
- Fracture
Fractures of the nose may be associated with septal fractures and hematomas 鼻骨骨折可伴有中隔骨折和血肿。 Tendons hook us to muscles--like strings on marionettes 肌腱就好比活动木偶的提线,把我们钩在肌肉上。 [hujiang.com]
Fracture of the distal epiphysis is more likely to have a significant residual deformity than is fracture of the proximal humeral epiphysis. [emedicine.medscape.com]
Bone Injuries Fractures are most often seen following a breech delivery, shoulder dystocia, or both in large babies. The clavicle is the most often fractured bone during birth. [healthpages.org]
The most common skeletal injury is the clavicle fracture, which is often asymptomatic and heals spontaneously within 7–10 days. [amboss.com]
[…] induction technique common in arm position when excessive traction, or the rise due to excessive rotation. light only the blood vessels rupture of the sternocleidomastoid muscle, causing muscle intrathecal bleeding, severe muscle fiber part or all of the fracture [e.uuuwell.com]
- Myopathy
Separate arterial supplies predispose to ischemia in the sternal head, resulting in focal myopathy and fibrosis. Get access to the full text of this article [onlinelibrary.wiley.com]
Abnormal head positioning in utero or difficult birth can lead to development of the compartment syndrome and congenital muscular torticollis sequela.Acquired SCM torticollis, can be post traumatic, myopathy induced, post infectious, drug induced, neurological [physio-pedia.com]
[…] basic patterns of abnormality is present: Abnormal anatomy with normal signal, i.e. accessory muscle Muscle atrophy, i.e. too much fat Muscle edema, i.e. too much water while retaining normal architecture due to muscle injury, myositis and imflammatory myopathy [radiologyassistant.nl]
- Contusion
see Dissection, aorta arterial (complicating trauma) - see Injury, blood vessel, by site auricle - see Contusion, ear nontraumatic - see Disorder, pinna, hematoma birth injury NEC P15.8 brain (traumatic) with cerebral laceration or contusion (diffuse [icd.codes]
Contusion Muscle contusion with edema of the skin, muscle and bone marrow (arrows) Muscle contusions are caused by a direct blow. [radiologyassistant.nl]
[…] birth injury ( P15.2 ) Birth injury NOS P15.9 ICD-10-CM Diagnosis Code P15.9 Birth injury, unspecified 2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record sternomastoid P15.2 (hematoma) Hematoma (traumatic) (skin surface intact) - see also Contusion [icd10data.com]
Neurologic
- Cervical Radiculopathy
Conservative treatment is the mainstay of initial treatment for cervical radiculopathy and degenerative disc disease with acceptable results. 10 Surgical intervention for patients with cervical radiculopathy is indicated when the symptoms are persistent [clinicalgate.com]
Workup
Workup Workup consists of radiographic studies of the shoulder and upper arm to rule out bony injury. The chest should be examined to rule out associated phrenic nerve injury. [emedicine.medscape.com]
History and physical examination remain the most important processes in the diagnostic workup. Imaging and electromyography or nerve conduction studies can be used to supplement the diagnostic workup. [clinicalgate.com]
X-Ray
- Atelectasis
Surface Properties in Relation to Atelectasis and Hyaline Membrane Disease. Página 485 - In: Scriver CR, Beaudet AL, Sly WS, et al., eds. The Metabolic Basis of Inherited Disease. 6th ed. New York: McGraw-Hill; 1989. [books.google.es]
Treatment
This case should suggest caution in thrombolytic treatment in patients with chronic immune dysregulation and vascular inflammation such as extra-pulmonary tuberculosis. [ncbi.nlm.nih.gov]
Discussion The treatment of IS is a course of treatment and prevention of the aggravation [ 3 - 5 ]. An idiopatic scoliosis under 20° Cobb is considered exclusively a physiotherapic treatment [ 17 ]. [omicsonline.org]
A Prospective Study of 821 Cases - Operative Treatment: - indications for surgery: - failure of non operative treatment after 12 to 24 months of age, surgical intervention is needed to prevent further facial deformity; - involves resection of portion [wheelessonline.com]
Surgical treatment is rarely required. [amboss.com]
The symptoms and the treatment for this complication are the same as in the case of peritonsillar abscess. Deep neck infections are not so frequent. [ic.steadyhealth.com]
Prognosis
[…] guidelines for determining prognosis are available. [emedicine.medscape.com]
The prognosis of birth traumas is usually favorable, with most injuries resolving spontaneously within weeks to months. [amboss.com]
Treatment and prognosis It is a self-limiting condition and usually resolves within 4-8 months 3 and requires no more than physiotherapy. For a general differential see: differential diagnosis of pediatric cervical lesions. [radiopaedia.org]
Discharge instructions and medications NSAIDS Short course of benzodiazepine Cervical collar (soft or rigid) for comfort Activity Limit activity until resolved Patient Monitoring Follow up in 1 week If not resolved, needs further evaluation for other causes PROGNOSIS [urgentcarepeds.org]
Etiology
In our document the patients after evaluation of radiologic examinations, no certain diagnosis could be made; we thought that the patient might be experiencing spontaneous neck hematomas with unknown etiology. [bmcpediatr.biomedcentral.com]
Etiology Because idiopathic cervical dystonia is a neurodegenerative process, the confluence of etiologic factors in modern popular explanations applies here as it does in idiopathic Parkinson disease. [emedicine.medscape.com]
[…] chapter will focus on acquired torticollis, not congenital PATHOPHYSIOLOGY Injury or inflammation of sternocleidomastoid (SCM) or trapezius muscle Most common in school age children Acute infection with referred pain to SCM or compensatory muscle spasm ETIOLOGY [urgentcarepeds.org]
PATHOGENESIS The etiology of CMT in infants is contracture or shortening of the SCM muscle. FIG 1 • Anatomy of SCM muscle and important surrounding structures. [musculoskeletalkey.com]
Epidemiology
[9] Facial nerve palsy due to birth trauma Neonatal brachial plexus palsy Shoulder dystocia Definition : an obstetric emergency in which the anterior shoulder of the fetus becoming impacted behind the maternal pubic symphysis during vaginal delivery Epidemiology [amboss.com]
Epidemiologic aspects of shoulder dystocia-related neurological birth injuries. Arch Gynecol Obstet. 2014 Sep 11. [Medline]. [Guideline] Narakas AO. The Paralysed Hand. Edinburough: Churchill Livingstone; 1987. [emedicine.medscape.com]
Pathophysiology
DESCRIPTION Lateral twisting or rotation of neck; also called wryneck This chapter will focus on acquired torticollis, not congenital PATHOPHYSIOLOGY Injury or inflammation of sternocleidomastoid (SCM) or trapezius muscle Most common in school age children [urgentcarepeds.org]
Up to 20% of children with congenital muscular torticollis have congenital dysplasia of the hip as well. [13, 14, 15, 16, 17, 18, 19] Acquired torticollis The pathophysiology of acquired torticollis depends on the underlying disease process. [emedicine.medscape.com]
Pathophysiology And Clinical Evaluation Cervical spondylosis is a progressive degenerative cascade that occurs with aging. [clinicalgate.com]
Prevention
Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. [books.google.es]
Get optimal test results with guidance on error detection, correction, and prevention as well as cost-effective test selection. [books.google.com]
Phase III: Gliding of the neural tissue through the surgical site to prevent the formation of adhesions should be promoted. [clinicalgate.com]
The prevention of this symptom during surgery is therefore important. The main method for prevention is the interposition of a graft between the skin flap and the parotid bed during surgery. [cochranelibrary.com]