Images Of Pseudohermaphrodites

Micro Penis Surgery

Micropenis with a normal scrotum in an infant who presented with severe hypoglycemia. This combination should alert one to the diagnosis of hypopituitarism. There is a higher incidence of hypopituitarism in patients with a variety of midline defects. Hypopituitarism was confirmed in this infant. Figure 5.20. This female infant has ambiguous genitalia. The karyotype was XX. Difficulties in determining the sex of an infant may arise from abnormalities of the external genitalia....

Toddler Vaginal Secretions

Baby Vaginal Discharge

Normal mucoid vaginal discharge in a normal female infant. This results from the withdrawal effect from the in utero environment. Figure 4.44. Withdrawal bleeding in a normal female neonate. Vaginal bleeding is not uncommon in the first week of life. It is caused by die withdrawal of die high maternal estrogen level to which the baby has been exposed in utero. Vaginal bleeding is self-limited in diat transplacental hormone withdrawal effect starts on the third to fourth day of life...

Female Genital Abnormalities

Infant Genitalia

A premature infant with a glanular hypospadias and chordee in the act of voiding. Note that the chordee results in a stream of urine always pointing downward, hence the importance of correcting this defect. Note the normal appearance of the developing premature scrotum. Figure 4.103. Glanular hypospadias with a hooded prepuce incomplete foreskin with chordee. Note that the whole ventral surface of the glans is uncovered, with prepuce covering only the dorsum of the glans like a...

Small Penile Syndrome Pictures

Small Penile Syndrome Pictures

Bilateral cryptorchidism in a term infant with a normal penis. Note the empty scrotal sacs and the median raphe which traverses the underside of the penile shaft and scrotum. Babies of die youngest gestational ages have the highest rate of undescended testes or cryptorchidism. Even at term, about 3 of male infants have an incompletely descended testis on one side nearly twice as often on die right as on the left . The majority descend within the first year. Figure 4.85. Bilateral...

Windsock Deformity Duodenum

Meconium Plug

Anteroposterior and lateral radiograph showing a lactobezoar in an infant with die inspissated milk syndrome. Figure 2.20. Anteroposterior and lateral radiograph showing a lactobezoar in an infant with die inspissated milk syndrome. Figure 2.21. Duodenal atresia observed clinically in an infant at the age of 6 hours. Note the dilated stomach and dilated proximal duodenum giving rise to the double bubble appearance. At this early age, the infant also has a scaphoid lower abdomen....

Bilateral Pulmonary Hyperaeration

Hyaline Membrane Disease Ray Chest

Bilateral pulmonary interstitial emphysema in another infant in which the radiograph shows the typical findings of hyperinflation and diffuse hyperlucencies within the lung parenchyma. This complication of hyaline membrane disease occurs most commonly as a complication of mechanically assisted ventilation and rarely occurs spontaneously. There is widespread rupture of alveoli resulting in accumulation of air in the interstitial lung tissue. Figure 1.128. Bilateral pulmonary...

Metabolic Syndrome And Big Stomach

Turner Syndrome Big Abdomen

The intravenous pyelogram in this infant shows a left-sided ureterovesical obstruction resulting in a left hydroureter and severe left hydronephrosis. The radiograph was taken 3 hours after injection of the dye. Note that the calyceal pattern on the right side is normal and the bladder is not very enlarged. Hydronephrosis in the newborn is most commonly due to obstruction at the bladder neck or at the ureterovesical junction. With the advent of ultrasonography, intravenous...

Skin Tag On Perineum Female

Human Abnormalities Deformities

Anal skin tags are small outgrowths of the mucosa arising from the anal margin. They are relatively common and have no pathologic significance. Figure 2.79. Anterior placement of the anus in an infant. This occurs when there is an abnormality of fusion between the urorectal septum and the cloacal membrane. If there is inadequate development of die urorectal septum and if its junction with the cloacal membrane is too far anteriorly, the anus is displaced forward and may open...

Congenital Hypothyroidism In Infants

Facial Puffiness Hypothyroidism

Left, radiograph of the long bones of the lower extremity in a term infant with congenital hypothyroidism. Note the lack of the ossification centers. The distal femoral ossification center usually appears at 36 weeks gestational age and the proximal tibial ossification center usually appears at 38 weeks gestational age. Right, lateral radiograph of the neck of the same infant showing the presence of a large congenital goiter which caused severe respiratory distress. Figure 5.2....

Toddler Abnormal Clitoris

Prominent Labia Minora Newborn

Abnormal female genitalia in this infant with prominent labia minora, clitoral enlargement, and anterior placement of the anus. Hypoplasia of the labia majora may give rise to the false impression of a large clitoris. Figure 4.48. Abnormal female genitalia in this infant with prominent labia minora, clitoral enlargement, and anterior placement of the anus. Hypoplasia of the labia majora may give rise to the false impression of a large clitoris.

Cardiorespiratory System

Glioma Nasal

Following birth, the function of gas exchange is transferred from the placenta to the lungs. Oxygen supply to the newborn infant depends upon the establishment of rhythmic breathing, expansion of the lungs with air, adequate pulmonary blood flow to pick up oxygen from the lungs, and systemic blood flow to transport oxygen to the tissues. Normal respiration requires that the central and peripheral nervous systems involved in breathing are appropriately developed, that respiratory muscle...

Newborn Female Normal Genital

Newborn Abnormal Genitalia

Another example of exstrophy of the bladder in a male infant who had meningomyelocele and developed an associated arthrogryposis. Figure 4.127. Another example of exstrophy of the bladder in a male infant who had meningomyelocele and developed an associated arthrogryposis. Figure 4.128. The cloacal dysgenesis sequence which represents a complete urogenital sac defect with a vesicointestinal fissure resulting from abnormal development of the lower half of the abdominal wall.