. The practice of pediatrics. p may show small hemorrhages and ecchymotic tumor itself is composed of blood. Soon after birth, the bloodis usually in a fluid state, while in later cases coagulation has takenplace. The tumor may be infected with pus-forming bacteria and anabscess may result. Symptoms.—Soon after birth—anywhere from the first to the fifthday—a tumor is seen occupying a position generally over the parietalbones. It is soft, gradually increases in size for about a week, and thendiminishes; infrequently a ridge develops around the outer border ofthe tumor, giving the sens
. The practice of pediatrics. p may show small hemorrhages and ecchymotic tumor itself is composed of blood. Soon after birth, the bloodis usually in a fluid state, while in later cases coagulation has takenplace. The tumor may be infected with pus-forming bacteria and anabscess may result. Symptoms.—Soon after birth—anywhere from the first to the fifthday—a tumor is seen occupying a position generally over the parietalbones. It is soft, gradually increases in size for about a week, and thendiminishes; infrequently a ridge develops around the outer border ofthe tumor, giving the sensation upon pressure of a depressed the latter stage of the tumor a crackling sensation will beelicited on pressure by the fingers. There is no accompanying child shows no annoyance. The tumor does not pulsate. One must be careful not toconfound this condi-tion with scalp edema,as seen in fracture ofthe skull after severetraumatism. In un-complicated cases thetumor gradually be-comes smaller and. Fig. 16.—Varieties of cephalhematoma: (a) BetweenBcalp and periosteum; (6) between periosteum and skull;(c) between skull and dura mater. smaller, until finally, after some five to twelve weeks, it disappears,sometimes leaving a slightly raised, uneven, bony base. Diagnosis (Differential).—Encephalocele occurs along the lines ofsutures or at the fontanels. Pressure may cause convulsions. Withmovements of respiration, the swelling may vary in prominence. Hydrocephalus.—The head enlarges as a whole, showing separatedsutures and large fontanels. Caput Succedaneum.—Edematous, does not fluctuate. Disappearson second day. Depressed Fracture of Skull.—Depression exists and not a tumor. Prognosis.—In the uncomplicated cases the prognosis is usuallygood. The prognosis depends upon the amount of injury to the partsand the occurrence of any infection. Internal cephalhematoma withaffusion is invariably fatal. Treatment.—These tumors are usually absorbed
Size: 3305px × 756px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
