By Arnold Rudolph MD
Colour atlas of neonatology. quantity one among a 5 quantity set masking an entire diversity of dermatologic, cardiac, pulmonary, gastrointestinal, genitourinary, neurologic, and musculoskeletal issues, genetics, and syndromes.
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Extra info for Atlas of the Newborn, Volume 1: Neonatal and Perinatal Medicine
Factors associated with increased risk of placental infection include premature and prolonged rupture of the membranes, prolonged labor, placenta previa, and multiple births. Bacterial infections are more common than viral and fungal infections. 51. Histologic section of a placenta with cytomegalovirus infection. Note the typical “owl’s eye” inclusions in the villae. Viral agents reach the fetus by hematogenous dissemination and traverse the placental villae. Since viral lesions tend to be microscopic, gross examination of the placenta is not helpful.
Squamous metaplasia of the amnion. In this placenta with squamous metaplasia, the amnion is stripped from the membranes. Note the concentric appearance of these nodules and their frequent umbilication. The amnion is squamous and these areas of metaplasia form with maturity. Note the tiny nodules of keratin irregularly present on the fetal surface. 58. Histologic section of the amnion showing the squamous metaplasia. Squamous metaplasia differs from amnion nodosum in that the lesions cannot be separated readily, whereas the nodules in amnion nodosum can be picked off of the underlying amnion leaving a semi-transparent, saucer-shaped depression with somewhat ragged edges.
Two clavicles and scapulae are present. The vertebral column is normal. The chest is narrow due to lack of the heart and hypoplastic lungs. The pelvis and lower extremities are well mineralized and relatively normal except for lack of some metatarsal bones. 34. The twin with the dominant heart of the same pregnancy often shows additional anomalies such as limb reduction defects. These have been attributed to embolic disease consequent upon stasis in the acardiac fetus. This twin had some limb anomalies which included fusion of digits of the left hand as seen in this figure.
Atlas of the Newborn, Volume 1: Neonatal and Perinatal Medicine by Arnold Rudolph MD