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The authors present a case of splenic artery aneurysm rupture, which neatly illustrates some of the problems of modern medical practice and the potential detriment of blind adherence to protocol driven care, without adequate reflection on the whole clinical picture and possible alternative diagnoses.
Fetal bradycardia is a recognized response to maternal hypothermia but has not previously been reported in conjunction with diabetes. A 30-year-old insulin-dependent diabetic was admitted at 35 weeks gestation for control of her diabetes. She developed maternal hypothermia and hypoglycemia and the fetal heart rate fell to 100 beats per minute (b.p.m.).(More)
We report five cases of enlarged, hyperechogenic kidneys detected prenatally where the liquor volume was normal or increased. The etiology was different in all cases and included infantile and adult polycystic kidney disease, Perlman syndrome, trisomy 13 and cystic dysplasia. The differential diagnosis of such findings is discussed and other cases reported(More)
OBJECTIVE To assess the relation between the indication for fetal blood sampling and pregnancy loss following the procedure. DESIGN Retrospective study. SETTING The tertiary referral Fetal Medicine Units at Guy's and University College Hospitals, London. SUBJECTS Women undergoing diagnostic fetal blood sampling in four groups: (1) 94 having prenatal(More)
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