presentation
DESCRIPTION
Intrauterine premature aging with congenital proptosis -dr Shaugi AdugoryTRANSCRIPT
ALFASHER EYE HOSPITAL
Case presentationby:-Dr\ Shawgi Adugory9.2011
الرحيم الرحمن الله بسم
CASE PRESENTATION DR SHAWGI MB BS
01 June 2011, a new-born male baby was referred to the eye dept, from the obstetric unit
In Alfashir Hospital. neonate born with bilateral proptosis
after long labor & difficult forceps delivery .
Abgar score was done to this neonate and is (8/10)
>(Activity (muscle tone)= Active motion=2
>Pulse (heart rate)=88 beats per minute=2
>Grimace (reflex response)= Grimace during suctioning=1
>Appearance (color)= Good color in body with bluish hands & feet=1
>Respiration (breathing) =Good& cry=2
It was noted that the baby was born with severe proptosis.
On Examination : full term pregnancy. Weight 2 kg. Bilateral Severe echymosis. Bilateral severe proptosis . Bilateral dry cornea.
Other Findings: 1. full set of teeth. 2. Rinkled dry skin. 3. Circumcised penis. 4. descended testicles.
abnormal deviation of the fingers
gross teeth
skin folds circumcised penis
Presumed Diagnosis: Intrauterine premature aging with congenital proptosis .
MOTHER’S STORY
A 42 years old female. Iliterate housewife from Alfasher. Para 13. All her deliveries at home with midwife
with no complications There was no history of similar
condition (baby born like her last baby )but have 2 babies died aged 9/12, 3/12 , respectively.
MANAGEMENT
both eyes were washed with ringer lactate drip and then covered by Sterile gauze.
patient was admitted & put hypo tear drops
& ointment. gentamycin and benzyl penciling injections. intravenous fluids were administered
for 5 days .
Liboratory investigation ; Hb%(2 days after admission is 17
g\dl and 22 days later be 12.6 g\dl. Hematological finding platelet
increase (600×103/μl)=thrombocytosis.
First patient suffering from lost breast feeding due to his mother is afraid of him she think that his baby may bite her with his teeth and then he also suffering from difficulty sucking.
During course of admission the patient condition has Improved.
Patient discharge on 12th of July with improve health condition ;his eyes in the orbit but if crying the eyes be outside the orbit and come 2 times for follow up.
Unfortunately one month later from discharge the baby dead because of dehydration (2 day diarrhea & vomiting) on 12th of august 2011.
DUGORY 9@GMA I L . COM