Birth Injury and Neonatal Scalp Swellings — Board-Style Questions

What this deck covers

Birth Injury and Neonatal Scalp Swellings in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Where the swelling stops
2. Biggest the moment he was born
3. Not there at birth
4. Rising, and still looking well
5. Four-hourly, as usual
6. Why so much fuss
7. Looking for a source elsewhere
8. Two babies, one shift
9. Asking for it to be drained
10. Handed to the community midwife
11. A step you can feel
12. An arm that will not move
13. A hand that will not grip
14. A crooked cry
15. Grating over the collarbone
16. Leaving without it
17. Asking if she caused it
18. History left behind

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Oedema of the scalp, Into the gut, The upper roots, A nerve injury from the instrument.

Clinical pearls from this deck

• Where does it stop? Bounded is watchable. Unbounded can bleed him white.
• Maximal at birth and shrinking is oedema. Blood arrives later.
• Appeared after birth and still growing is bleeding until proved otherwise.
• He looks well until he does not. The measurement moves first.
• The observation schedule has to match the risk, not the ward.
• Eighty millilitres a kilogram is the whole tank. The scalp can drink it.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all neonatology case decks · pediatric reference values.