HK J Paediatr (New Series) 2013;18:46-47
HK J Paediatr (New Series)
Vol 18. No. 1,
What is the Diagnosis?
M Ozcetin, M Karaci, T Keskin, A Altunay, I Serifoglu
The clinical quiz was prepared by:
Bulent Ecevit University, School of Medicine, Department of Pediatrics, Zonguldak, Turkey
Bulent Ecevit University, School of Medicine, Department of Radiology, Zonguldak, Turkey
Correspondence to: Dr M Karaci
A baby boy was born by cesarean section at 39 weeks of gestation by a 33-year-old healthy mother. The baby's birth weight was 3.9 kg (75-90th centile), head circumference 36 cm (50-75th centile), body length 51 cm (50-75th centile). Apgar scores were 10 at 1 minute and 10 at 5 minutes. The prenatal and perinatal course was uneventful. His parents were non-consanguineous and he had 2 healthy siblings (1 brother and 1 sister). Family history was unremarkable. On general examination, his anterior fontanelle was open and 2 cm x 2 cm in size. Posterior fontanelle was closed, and his facial appearance was normal. Figures 1 and 2 showed his thorax and his left upper limb. Cardiovascular examination revealed that his apex was to the right, his heart rate was 120 per minute and there was no audible murmur. Other examination was normal. Figures 3 and 4 showed his chest X-ray and CT thorax are shown. Complete blood count, serum biochemistry, urinalysis, abdominal ultrasound and renal ultrasound were normal. Echocardiography showed dextraocardia without additional structural abnormalities.
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N.B. The Editors invite contributions of illustrative clinical cases or materials to this section of the journal.