I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Monday, November 14, 2011
Overanxious Parents
At a two-week visit, parents bring their newborn into your office, worried because she has had a few days of bloody mucoid vaginal discharge. A week later, this has resolved.
you are both right! well done - Overanxious Parents
This is neonatal withdrawal bleeding. During intrauterine life, maternal estrogen crosses the placenta and can cause growth of a female fetus’ endometrial lining. After birth, these hormone levels wane and the endometrial lining sloughs off.
normal bleeding 2/2 to withdraw from estrogen rich environment. maternal estrogen promoted fetal endometrial thickening, which is now sloughing off.
ReplyDeletematernal estrogen withdrawal
ReplyDeleteyou are both right! well done
ReplyDelete-
Overanxious Parents
This is neonatal withdrawal bleeding. During intrauterine life, maternal estrogen crosses the placenta and can cause growth of a female fetus’ endometrial lining. After birth, these hormone levels wane and the endometrial lining sloughs off.
Source: UpToDate.