0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Special Feature |

Picture of the Month FREE

Chi-Yu Huang, MD; Yann-Jinn Lee, MD; Hung-Chang Lee, MD; Fu-Yuan Huang, MD
[+] Author Affiliations

From the Department of Pediatrics, Mackey Memorial Hospital, Taipei, Taiwan.


Section Editor: Walter W. Tunnessen, MD


Arch Pediatr Adolesc Med. 2000;154(4):417-418. doi:10.1001/archpedi.154.4.417.
Text Size: A A A
Published online

A 7-DAY-OLD infant was noted to have bluish discoloration of the scrotal, inguinal, and perineal areas, bilaterally (Figure 1). The testes were palpable, nontender, and seemed to have normal consistency. The infant was born after 40 weeks' gestation to a gravida 2, para 2 woman. He was delivered vaginally with the aid of vacuum extraction and weighed 3800 g, with Apgar scores of 9 and 10 at 1 and 5 minutes, respectively. Other than mild swelling of the scrotum noted soon after birth, findings from physical examination were unremarkable. The neonatal course was complicated by decreasing appetite and jaundice. Findings from ultrasonographic scan of the abdomen obtained on day 7 showed masses with mixed echogenic patterns above both kidneys (Figure 2). Findings from repeated ultrasonographic scan 4 days later showed cystic changes in the masses (Figure 3).

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
JAMAevidence.com

The Rational Clinical Examination
Make the Diagnosis: Early Pregnancy

The Rational Clinical Examination
Original Article: Is This Patient Pregnant?