scholarly journals Forensic Aspects of Perinatal Deaths

2018 ◽  
Vol 8 (3) ◽  
pp. 452-491 ◽  
Author(s):  
Marta C. Cohen ◽  
Irene Scheimberg
Keyword(s):  
Differential Diagnosis ◽  
Child Abuse ◽  
Causes Of Death ◽  
Fetal Death ◽  
Correct Interpretation ◽  
Perinatal Deaths

From a forensic pathologist’s perspective, there are several aspects of the perinatal postmortem that are particularly important. If a fetus is found abandoned, the pathologist needs to ascertain the fetal age, the appropriateness of growth, if the baby was born alive or dead, and the possible causes of death. In cases of litigation for perinatal deaths occurring in hospitals, access to the obstetric and neonatal notes (if the baby is born alive and dies a few hours or days later) is fundamental to reach a correct interpretation and conclusion. The most important points to consider in cases of intrapartum death are the roles of asphyxia and trauma in the causation of the baby’s death. Timing of the fetal death in relation to delivery may also be an important point in these cases. Finally, intrapartum lesions should always be considered in the differential diagnosis of possible child abuse in babies aged two months or less.

scholarly journals Young child with painful edema and purpura: a case report

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Sarah Contorno ◽  
Giorgio Cozzi ◽  
Irene Berti ◽  
Egidio Barbi ◽  
Andrea Taddio
Keyword(s):  
Differential Diagnosis ◽  
Child Abuse ◽  
Case Report ◽  
Young Child ◽  
Sickle Cell ◽  
Benign Condition ◽  
Sickle Cell Crisis

Abstract Background We reported the case of a two-old-year boy with a painful acute hemorrhagic edema. This is a self-limited benign condition: usually, affected children are well appearing and this strongly support the diagnosis. In the opposite, in our case, we observed a painful presentation of the edema. Therefore, we demonstrated that rarely, this condition could have also a painful presentation. Conclusions This case report helps clinician to know that also acute hemorrhagic edema could have a painful presentation, so we must considered it in the differential diagnosis with sepsis, sickle cell crisis and child abuse. We believe that these findings will be of interest to pediatricians.

Differential diagnosis of hemoptysis

2021 ◽  
pp. 47-55
Author(s):  
Petr Arkadievich Ilyin
Keyword(s):  
Infectious Disease ◽  
Computed Tomography ◽  
Lung Cancer ◽  
Differential Diagnosis ◽  
Correct Interpretation ◽  
Diagnostic Investigation ◽  
Detailed History ◽  
X Ray ◽  
Chest X Ray ◽  
Upper Gastrointestinal

Blood expectoration or hemoptysis is the coughing up of sputum with blood from the larynx, bronchi or lungs. Hemoptysis is most often caused by diseases of the respiratory tract and lungs — bronchitis or pneumonia, as well as lung cancer, aspergilloma, tuberculosis, bronchiectasis, pulmonary embolism, etc. In the diagnostic investigation of the cause of hemoptysis, it is important to take a detailed history (in the case of an epidemiological history, a laboratory analysis of the secreted sputum for the detection of the causative agent of an infectious disease is necessary), to make the correct interpretation of the patient’s complaints and an assessment of the nature of the sputum (differential diagnosis with bleeding from the upper gastrointestinal tract). A chest X-ray is performed and, then, if indicated, computed tomography, bronchoscopy, and other studies are made. The article presents an algorithm for differential diagnostic investigation of hemoptysis in a patient

Nickel Allergy From a Bed-Wetting Alarm Confused With Herpes Genitalis and Child Abuse

PEDIATRICS ◽  
1992 ◽  
Vol 90 (3) ◽  
pp. 458-460
Author(s):  
JOHN W. HANKS ◽  
WANDA J. VENTERS
Keyword(s):  
Sexual Abuse ◽  
Differential Diagnosis ◽  
Child Abuse ◽  
Child Sexual Abuse ◽  
Medical Literature ◽  
Historical Data ◽  
Herpes Genitalis ◽  
Nickel Allergy ◽  
Clinical Appearance ◽  
Tremendous Importance

The evaluation of vesicular genital rashes can be challenging for the pediatrician. The presence of an unusual genital rash should raise the concern of sexual abuse. In recent years awareness of child sexual abuse and its various presentations has increased through both lay and medical literature. When the possibility of sexual abuse arises, historical data may be difficult to elicit and can be misleading. The decision to investigate further may be based on the clinical appearance and location of the rash and the physician's level of suspicion. In this setting, the differential diagnosis of genital rashes in children assumes tremendous importance.

The Spectrum of Cervical Glandular Neoplasia and Issues in Differential Diagnosis

2014 ◽  
Vol 138 (4) ◽  
pp. 453-483 ◽  
Author(s):  
Joana Loureiro ◽  
Esther Oliva
Keyword(s):  
Differential Diagnosis ◽  
Endometrial Carcinoma ◽  
Invasive Carcinoma ◽  
Correct Interpretation ◽  
Immunohistochemical Markers ◽  
Clinical Consequences ◽  
Wrong Diagnosis ◽  
Endometrioid Endometrial Carcinoma ◽  
Usual Pattern

Context.—Premalignant and malignant glandular lesions of the cervix are known to often cause diagnostic problems with a variety of benign (more common) as well as other malignant mimics, the latter setting often being represented by secondary involvement by endometrioid endometrial carcinoma especially in small samplings. Objective.—To highlight key histologic features and immunohistochemical markers that may be helpful in the distinction of in situ endocervical carcinoma from benign glandular proliferations, and those that separate different subtypes of invasive endocervical carcinoma, as well as invasive carcinoma from other carcinomas secondarily involving the cervix and nonneoplastic proliferations of the cervix. Conclusions.—Clinical and morphologic features as well as immunohistochemistry results should be used in conjunction in the differential diagnosis of glandular proliferations of the cervix, as correct interpretation has major clinical consequences for the patient in most instances (especially benign versus malignant). Immunohistochemical markers should be used as part of a panel of antibodies, as exceptions may occur to the usual pattern of staining, and if used singly, they may mislead the pathologist to establish a wrong diagnosis.

Treponema infection in an infant differential diagnosis: congenital syphilis versus child abuse

2012 ◽  
Vol 20 (3) ◽  
pp. 219-222
Author(s):  
Mihaela Anca Popescu ◽  
Dumitru Justin Diaconu ◽  
Silvia Vasile ◽  
Cristian Vasile
Keyword(s):  
Differential Diagnosis ◽  
Child Abuse ◽  
Congenital Syphilis

scholarly journals Assessment of Perinatal Mortality in a Tertiary Care Hospital by Using Wigglesworth Classification

1970 ◽  
pp. 32-39
Author(s):  
Lutfun Nahar Begum ◽  
Kishwar Azad ◽  
Shahida Akhter ◽  
Nazmun Nahar ◽  
Abu Hasan Md Abdullah
Keyword(s):  
Child Health ◽  
Key Words ◽  
Causes Of Death ◽  
Tertiary Care Hospital ◽  
Perinatal Death ◽  
Perinatal Asphyxia ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Care Hospital ◽  
Perinatal Deaths

Objective: To determine the causes of perinatal death using Wigglesworth classification and to assess the feasibility of using Wigglesworth classification in a tertiary care hospital setting. Methods: All live and stillborn babies delivered at BIRDEM over a 5 yr period(from January 2000 to December 2004) were recorded. Perinatal deaths of that period were analysed according to Wigglesworth classification Results: According to Wigglesworth classification, majority of deaths were in the group "macerated stillbirths" (63.5%). Perinatal asphyxia was responsible for 13.6% of deaths, lethal congenital malformation was found in 11.2% and immaturity and "others" each accounted for 6.1%. Conclusion: Macerated stillbirth and asphyxia were the two leading causes of death at BIRDEM and Wigglesworth classification has been found to be feasible in BIRDEM for categorising perinatal deaths retrospectively. Key words: Perinatal death; Wigglesworth classification DOI: 10.3329/bjch.v31i1.6072 Bangladesh Journal of Child Health 2007; Vol.31(1-3): 32-39

scholarly journals MALIGNANT TUMORS ASSOCIATED WITH HEREDITARY IMMUNODEFICIENCIES

2020 ◽  
Vol 64 (1) ◽  
pp. 7-14
Author(s):  
E. Suspitsyn ◽  
M. Mahova ◽  
E. Imyanitov
Keyword(s):  
Differential Diagnosis ◽  
Primary Immunodeficiency ◽  
Causes Of Death ◽  
Malignant Tumors ◽  
Oncogenic Viruses ◽  
Oncological Disease ◽  
Increased Risk

Malignant tumors are often found in patients with hereditary defects of immunity and are one of the main causes of death of such patients. The increased risk of developing tumors appears to be due to the weakening of antitumor surveillance and vulnerability to oncogenic viruses. The presence of primary immunodeficiency in a patient with an oncological disease can affect the tactics of treatment. Expanding the possibilities of primary immunodeficiency therapy dictates the need for timely differential diagnosis of hereditary immunodeficiencies.

scholarly journals Gambaran Penyebab Kematian Utama di Kabupaten Bekasi Provinsi Jawa Barat 2011

2019 ◽  
Vol 47 (1) ◽  
pp. 29-38
Author(s):  
Kristina Kristina ◽  
Lamria Pangaribuan ◽  
Hendrik Hendrik
Keyword(s):  
Infant Mortality ◽  
Infectious Diseases ◽  
Cause Of Death ◽  
Causes Of Death ◽  
Control Model ◽  
Health Programs ◽  
Age Group ◽  
Perinatal Deaths ◽  
Health Control ◽  
Model Based

AbstractDeath can be caused by a number of diseases such as infectious diseases, disease not causing injury. Thepattern of death and cause of death is one indicator used to assess health programs. Objective: to findout the images of the causes and causes of death in 2011 in Bekasi Regency. Methods: Articles are thesubsequent analysis of the study of the Health Control Model Based on Death Registrations and Causesof Death in 12 Districts / Cities in Indonesia. The method is an analysis of national agriculture in 2011.Population: all death events in Bekasi Regency. Samples: deaths of residents of Bekasi Regency who diedin 2011. Instruments used: 1) AV1 Questionnaire, to collect information on perinatal deaths, namely fetal/ infant mortality with a womb age of more than 22 weeks until the age of 6 days and advanced neonataldeaths, 7 days old infants up to 27 days. 2). The AV2 questionnaire, collected information on death,aged 28 days and five years, 5 years. 3) AV3 Questionnaire, collect the 5-year death report above andthe Death Cause Information Form (FKPK). Results: The number of deaths obtained in 2011 was 5,011deaths. As many as 82.7% of deaths were at home and 15.6% were hospitalized. Most deaths were in men(56.1%) compared to women (43.9%). The cause of death due to adolescents is not higher (61.4%) thanother causes. Space deaths increase sharply in the group 65 years and above. The cause of stroke wasdeath in Bekasi Regency in 2011. Conclusion: The main causes of the age group IUFD + 0-6 days werepremature. Diarrhea is the leading cause of death in the age group 29 months -4 years. TB is the leadingcause of death in women and number two in men aged 15-44 years. Stroke is the leading cause of deathin the age group 55-64 years, 65 years and over and in men aged 45-54 years. Keywords: death, stroke, cause of death, primary AbstrakKematian dapat disebabkan beberapa hal seperti penyakit menular, penyakit tidak menular maupun karenakecelakaan. Pola kematian dan penyebab kematian merupakan salah satu indikator yang digunakanuntuk menilai program kesehatan.Tujuan:mengetahui gambaran kematian dan penyebab kematian utamatahun 2011 di Kabupaten Bekasi. Metode:Artikel ini merupakan hasil analisis lanjut dari studi ModelPengendalian Kesehatan Berbasis Registrasi Kematian dan Penyebab Kematian di 12 Kabupaten/Kotadi Indonesia. Metode studi merupakan analisis regresi kematian tahun 2011. Populasi: semua kejadiankematian di Kabupaten Bekasi. Sampel: kematian penduduk Kabupaten Bekasi yang meninggal tahun2011. Instrumen yang digunakan: 1) Kuesioner AV1, untuk mengumpulkan informasi kematian perinatalyaitu kematian janin/bayi dengan umur kandungan lebih dari 22 minggu sampai dengan umur 6 hari dankematian neonatal lanjut, bayi berumur 7 hari sampai dengan 27 hari. 2). Kuesioner AV2, mengumpulkaninformasi kematian bayi berumur 28 hari sampai dibawah 5 tahun. 3) Kuesioner AV3, mengumpulkaninformasi kematian berusia 5 tahun keatas dan Formulir Keterangan Penyebab Kematian (FKPK). Hasil:Jumlah kematian yang didapatkan pada tahun 2011 adalah 5.011 kematian. Sebanyak 82,7% kematianterjadi di rumah dan 15,6% di rumah sakit. Kematian paling banyak pada laki-laki (56,1%) dibandingperempuan (43,9%). Penyebab kematian akibat penyakit tidak menular lebih tinggi (61,4%) dibandingkanpenyebab lain. Angka kematian meningkat tajam pada kelompok 65 tahun ke atas. Penyakit strokepenyebab kematian utamadi Kabupaten Bekasi tahun 2011. Kesimpulan: Penyebab kematian utama padakelompok umur IUFD +0-6 hari adalah karena prematur. Diare merupakan penyebab kematian utamapada kelompok umur 29 bulan-4 tahun. TBC merupakan penyebab kematian utama pada perempuandan nomor dua pada laki-laki umur 15-44 tahun. Stroke adalah penyebab kematian utama pada kelompokumur 55-64 tahun, 65 tahun ke atas dan pada laki-laki kelompok umur 45-54 tahun. Kata kunci: kematian, stroke, penyebab kematian, utama  

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