By Anil A Kilpadikar, Edgardo J Angtuaco
The Sylvian cistern is definitely understood and defined within the anatomical and surgical literature. Computed tomography (CD and magnetic resonance (MR) have complicated our wisdom of this region. Description of the sylvian cistern is usually performed within the axial and coronal planes. The sagittal airplane is underutilized yet provides one other measurement to anatomy no longer saw within the different planes. specifically, the triangular formed insular cortex with its gyri and sulci, is easily depicted during this aircraft. during this show we current the conventional sagittal MRI anatomy and numerous examples of pathology taking place during this region.
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Choose the best answer. What is your interpretation of the tracing in Figure 2-1, B? Choose best answer. Presence of late fetal heart rate decelerations 2 Perinatal Asphyxia 240 240 240 210 210 210 180 180 180 150 150 150 120 120 120 90 90 90 60 60 60 30 30 30 100 80 100 80 100 80 60 40 20 60 40 20 60 40 20 0 0 0 • 3:15:20 9/26/97 3 cm/min A • 3:18:40 B • 3:22:00 240 240 210 210 180 180 150 150 120 120 90 90 60 60 30 30 100 80 100 80 60 40 20 60 40 20 0 0 • 7:08:40 9/26/97 3 cm/min 19 • 7:12:00 FIGURE 2-1 n Normal fetal heart rate tracing upon admission to the hospital (A).
Because you may need to drain the pleural and peritoneal effusions, you should have at least three (plus additional spare) large-bore angiocatheters available to use for pleurocentesis and paracentesis. You will also need several large syringes, at least three stopcocks, and connector tubing. In addition you should have appropriately sized thoracostomy tubes with drainage equipment. You may choose initially to perform a pleurocentesis followed by more definitive thoracostomy tube placement (if necessary) once the baby is more stable.
The infant is also started on a continuous midazolam drip in part as a sedative and in part to control further seizures His heart rate, which had previously been 120 to 130 bpm, decreases to 90 to 100 bpm. Mean arterial pressure correspondingly decreases from 45 to 50 mmHg to 35 to 40 mmHg. He makes only 5 mL of dark yellow urine in the first 12 hours of life. 3 mg/dL. What is the most likely cause of this newborn’s bradycardia and hypotension? What is the most likely cause of electrolyte disturbances in this patient?