Neonatology · NEET PG Preparation Paediatrics
A term female neonate born via vacuum-assisted vaginal delivery presents with a scalp swelling that crosses suture lines, is soft, pitting, and painl…
Practice question from Neonatology (NEET PG Preparation Paediatrics), with the correct answer and a step-by-step solution.
medium · MCQ · Q-564DE6
A term female neonate born via vacuum-assisted vaginal delivery presents with a scalp swelling that crosses suture lines, is soft, pitting, and painless. The overlying skin shows ecchymoses. The swelling progressively increases in size over the first 24 hours. What is the most likely diagnosis and potential complication?
- A.Cephalhematoma; hyperbilirubinemia and calcification
- B.Caput succedaneum; requires urgent surgical drainage
- C.Subgaleal hemorrhage; hypovolemic shock and severe anemiaCorrect answer
- D.Epidural hematoma; uncal herniation and seizures
Solution
Subgaleal hemorrhage involves bleeding into the potential space between the galea aponeurosis and the periosteum. It can cross suture lines, expand rapidly, and hold a significant volume of the neonate's blood supply, leading to acute hypovolemic shock, anemia, and death. It is often associated with vacuum extraction.
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