Birth Injuries

Question 1

True or false
Sub periosteal (cephal hematoma) doesn't cross the sutures

Answer 1

True

Question 2

Clinical pic of cephalohematoma

Answer 2

Presents hrs after birth or 2 3 days after
Doesn’t cross sutures
Dissappears in weeks

NB; aspiration is Contraindicated

Question 3

Clinical pic of sub galeal hge.

Answer 3

Presents at birth + may increase in size rapidly
Crosses suture lines
Dissappears in weeks

Question 4

What is the root injured in erb’s palsy

Answer 4

C5, 6

Question 5

Muscles affected in erb’s paralysis

Answer 5

Arm & forearm

Question 6

Limb position in erb’s paralysis

Answer 6

Arm adducted
Forearm pronation
Policeman tip position

Question 7

Klumpke’s paralysis nerve roots injured

Answer 7

C8, T1

Question 8

What happend to reflexes in erb’s paralysis?

Answer 8

Absent moro

Intact grasp

Question 9

Reflexes in. Klumpke’s paralysis

Answer 9

Intact moro

Absent grasp

Question 10

Investigations in klumpke’s and erb’s palsies

Answer 10

Nerve conduction velocity (NCV)

Question 11

What is the most common fracture in birth injuries?

Answer 11

Clavicle fracture

Question 12

What is the most common abdominal. Injury in birth injuries?

Answer 12

Liver hematoma folowed by Splenic and adrenal hge.

Question 13

Treatment of abdominal injuries (hge.)

Answer 13

Supportive,, paracentesis

Question 14

Treatment of intracranial hge. In birth injuries

Answer 14

Stabilize
Blood transfusion
Vit. K
Neurosurgical consultation