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Sunday, June 17, 2007

IUGR and fetal malnutrition

Newborn babies with IUGR often appear thin, pale, and have loose, dry skin. The umbilical cord is often thin and dull-looking rather than shiny and fat. Babies with IUGR sometimes have a wide-eyed look. Some babies do not have this malnourished appearance but are small all-over.1

In FM, the subcutaneous tissues and underlying muscles are diminished and the skin of arms, legs, elbows, knees and interscapular regions is very loose. In severe FM, the neonate may look “emaciated” or “marasmic” as the skin appears “several sizes” too large for the baby.2

such horizontal peeling skin lines are very often seen in IUGR babies and that reflects the growth failure especially in the third trimester.

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when a doctor completes his training without the real hands on experience, its mistaken by many that what you are taught in medical school is totally in contrast with what you see clinically in patients. This blog aims at making medical students and docs understand how every case is exactly the same as in books. The work done by senior docs over the years is really rewarding. Infact when one finds a contrast in what is taught, he should go to books and you will find the exact descriptions verbatim, or the images as they are explained in medical books.

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