By Arnold Rudolph MD
Colour atlas of neonatology. quantity certainly one of a 5 quantity set protecting a whole variety of dermatologic, cardiac, pulmonary, gastrointestinal, genitourinary, neurologic, and musculoskeletal issues, genetics, and syndromes.
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Additional info for Atlas of the Newborn, Volume 1: Neonatal and Perinatal Medicine
Diagnosis was not made prenatally and the twins died at delivery. Note that there are only two upper extremities (dibrachus) and four lower extremities (tetrapus). 53. Cephalothoracopagus conjoined twins. Note the syncephalus. 54. Dicephalus conjoined twins with dicephalus, three upper extremities (tribrachus), and two lower extremities (dipus). Note the two separate heads and the fused chest. 55. 54 demonstrates the third upper extremity extending from the fused shoulders. There were two separate neurologic systems, two separate pulmonary systems, two gastrointestinal systems joining at the jejunum, a single genitourinary system, and conjoined hearts with complex anomalies.
Squamous metaplasia differs from amnion nodosum in that the lesions cannot be separated readily, whereas the nodules in amnion nodosum can be picked off of the underlying amnion leaving a semi-transparent, saucer-shaped depression with somewhat ragged edges. 59. Typical amnion nodosum in one twin. This twin was an acardiac monster having no urinary tract. The amnion is rough and shows numerous fine granules which are whitish, opaque, and uniform in size. Frequently the nodules are more irregular in size and slightly yellowish brown.
56. Another example of dicephalus conjoined twins. Note that the head on the left of the figure is normal but that there is anencephaly of the head on the right of the figure. 57. Radiograph of the same conjoined twins showing the normal head on the left of the figure and the anencephalic head on the right of the figure. Note that there are fused vertebral columns with some separation at the lower thorax and upper abdomen and that there is dibrachus. 58. Asymmetric ischiopagus conjoined twins. Note that the twin on the right of the figure, which is attached at the ischia, is an anencephalic parasite with a partial thorax and abdomen and two upper and two lower extremities.