hx: newborn with difficulty breathing relieved by crying
TRANSCRIPT
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Resident on call CMH cases
Collected by: Lisa H. Lowe, MD
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Hx: Newborn with difficulty breathing relieved by crying
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Findings:
•Narrow anterior choana/nares with abnormal “waist” like shape of the maxillary spines and medial angulation of the nasal walls
•Central mega incisor
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Hx: Pyriform aperture stenosis
Normal nasal cavity for comparison (walls of max sinuses and septum are parallel, not funnel shaped)
•Other midline anomalies are common such as holoprosencephaly and central megaincisor
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Hx: 5 year old with bulging forehead
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Findings:
•Defect in between nasal bone and frontal bone
•Brain bulges through the defect
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Dx: Nasofrontal encephalocele
•Congenital extension of brain through skull at the Glabella (should never biopsy this mass)
•Treated surgically
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Hx: 1 mo male old w/ swollen eye
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Findings:
•Well defined area left medial canthus with minimal peripheral enhancement of the wall
•Lt mass in nose
•Lt soft tissue swelling preseptal
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Dx: Dacrocystitis
•Needs prophylactic antibiotics and definitive therapy somewhat urgently to prevent infection and nasolacrimal duct damage
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Hx: Right eye swelling 12 week old
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Findings:•Well defined area right medial canthus with minimal peripheral enhancement of the wall and fluid level
•Rt mass in nose
•Rt soft tissue swelling preseptal
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Dx: Dacrocystocele•Well defined area right medial canthus with minimal peripheral enhancement of the wall and fluid level
•Rt mass in nose
•Rt soft tissue swelling preseptal
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Hx: 4y male fvr, recent dental procedure
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Findings
•Sublingual fluid with cellulitis/inflammation
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Dx: Sublingual abscess due to tooth abscess
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Hx: Lt facial swelling & redness 2ym
a
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Findings
a
•Enhancing left parotid with tiny foci of low density; rt is normal; no calcifications
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Dx: Parotitis
a
•Unilateral usually bacterial or due to stone. Mumps is bilateral. Can be viral also
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