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09/08/2023

The biggest baby born by natural birth, weighing roughly 17.47 pounds (7.9 kg) and 22.5 inches (57.5 cm) long!! This photograph has been online since at least as far back as March 2017, with varying weights offered for the pictured child. Doctors thought the baby was going to be big, so they put together a medical team of additional pediatricians, surgeons and midwives to be prepared for any possible complications. An anesthesiologist and caesarean specialist were also on standby, and were not needed. For comparison, the current Guinness world record for the heaviest baby born to a healthy mother was a boy weighing 10.2 kg (22 lb 8 oz). In general, fetal macrosomia is associated with poorly controlled gestational diabetes, maternal obesity, and excessive maternal weight gain. Hyperglycemia in the fetus results in the stimulation of insulin, insulin-like growth factors, growth hormone, and other growth factors, which, in turn, stimulate fetal growth and deposition of fat and glycogen. Advanced gestational age results in a larger birth weight at delivery by allowing the growth process to continue in utero. Fetal macrosomia makes a vaginal delivery difficult and could lead to shoulder dystocia, brachial plexus injury, skeletal injuries, meconium aspiration, prenatal asphyxia, hypoglycemia, and fetal death. These children are often delivered through cesarean procedures. However, this baby was born naturally.

06/08/2023

Jugular vein distention, which is quite massive, in a woman with cardiac tamponade!! Jugular vein distention occurs when the pressure inside the vena cava increases and appears as a bulge running down the right side of a person's neck. A person has jugular veins on both sides of their neck. They act as passageways for blood to move from a person's head to the superior vena cava, which is the largest vein in the upper body. The superior vena cava then transports the blood to the heart and lungs. Jugular vein distention or JVD is when the increased pressure of the superior vena cava causes the jugular vein to bulge, making it most visible on the right side of a person's neck. The blood flow from the head to the heart is measured by central venous pressure or CVP. The appearance of the vein is similar to a rope or raised tube below the surface of the skin, and its height can be measured to indicate the CVP. There are several reasons why JVD may occur, and these include right-sided heart failure, tricuspid valve stenosis, pulmonary hypertension, constrictive pericarditis, superior vena cava obstruction, and cardiac tamponade. In cardiac tamponade, we look for 3 things, one of them you can see in the picture. These 3 things are called Beck's triad which is a collection of three medical signs associated with acute cardiac tamponade, an emergency condition wherein fluid accumulates around the heart and impairs its ability to pump blood. The signs are low arterial blood pressure, distended neck veins, and distant, muffled heart sounds.

29/07/2023

Looking at the Sun Can Trigger a Sneeze 🧐 👉A sneeze is usually triggered by an irritation in the nose, which is sensed by the trigeminal nerve, a cranial nerve responsible for facial sensation and motor control. This nerve is in close proximity to the optic nerve, which senses, for example, a sudden flood of light entering the retina. As the optic nerve fires to signal the brain to constrict the pupils, the theory goes, some of the electrical signal is sensed by the trigeminal nerve and mistaken by the brain as an irritant in the nose. Hence, a sneeze.

29/07/2023

EXTERNAL CEPHALIC VERSION 🙌🏼

▪︎Did you know that if your baby is found to be breech in later pregnancy, there is a procedure available called an external cephalic version (ECV) to help turn baby into a head down position(CEPHALIC)
▪︎Babies move into delivery position a few weeks prior to their birth, with the head moving closer to the birth canal. But instead of their head, if their buttocks/feet are positioned at the birth canal to be delivered first, then it is called Breech Representation.

▪︎A baby attains breech position either when there is too much amniotic fluid that it keeps flipping between breech and head down positions until delivery or when there is too less amniotic fluid restricting the baby from swimming.

▪︎There are three types of breech positions.
☆ Complete breech is when the baby's buttocks is at the birth canal with the legs folded and feet clinging to the buttocks.
☆Frank breech is when the baby's buttocks is at the birth canal

07/07/2023

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01/07/2023

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