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Prematurity And Abnormal Head Imaging


Consult Page

3 day old premature twin with intraventricular hemorrhage

Initial Imaging

Fig. 47.1, Coronal (A, B) and sagittal (C) views of head ultrasound demonstrates extensive bilateral intraventricular hemorrhage with associated right frontal parenchymal hematoma (A).

Walking Thoughts

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    What is the mother’s pregnancy history?

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    What is the patient’s birth history and comorbidities?

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    What is the patient’s current clinical status (vitals, oxygenation, apneic, or bradycardic events)?

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    What type of imaging was completed?

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    What is the extent of the hemorrhage?

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    Is there any ventriculomegaly or hydrocephalus evident on imaging?

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    What is the patient’s head circumference and how does the fontanelle feel?

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