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Important Topics

Question
39 out of 98
 

Which of the following is TRUE about cephalhematoma (AIIMS Nov 2009)



A It is caused by oedema of the subcutaneous layer of the scalp

B Treatment is by aspiration

C Tension does not vary with crying

D Most common over the occipital part of the skull

Ans. C

Tension does not vary with crying

Cephalohematoma

Caput succedaneum

1. Subperiosteal hemorrhage hence always limited to surface of the one cranial bone

1. It is the formation of swelling due to stagnation of fluid in the layers of the scalp beneath the girdle of contact

2. Usually unilateral

2. May be bilateral

3. Limited by the suture line

3. Across the mid line and across suture lines

4. An underlying skull fracture usually linear not depressed.

4. Molding of the head and overriding of the parietal bones.

5. Swelling is usually not visible until several hours of birth

5. Present at birth

6. Most cephalohematoma are resorbed within 2 weeks. 3 month depending on their size, they may begin to calcify by the end of 2nd weeks

6. The edema disappears within the first few days of life the swelling is diffuse & boggy

7. No specific treatment is needed

7. Incision and drainage is contraindicated because of the introducing infection in a benign conditions

8. It may also be associated with skull fracture, coagulopathy and intracranial hemorrhage

8. No treatment except phototherapy

9. Rarely a hemorrhagic caput may result in shock and require blood transfusion

Important Topics Flashcard List

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