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SACROCOCYG

EAL PI TS
benign
midline intergluteal cleft
midline sinuses at higher
levels are portal of infection
KERNI CTERU
S
deposition of unconjugated
bilirubin
opisthotonus
neck retraction
clenched fists
arms rotated inward
later athetoid cerebral palsy
SCHEUERMAN
N KYPHOSI S
khyphotic angulation
present on forward bending
adolescence with back pain
xray show irregularities of
anterior vertebral growth
SACROCOCCE
GEAL
TERATOMA
commonest tumour
presenting in the neonatal
period
benign and excised
malignant after two months
SACRAL
AGENESI S
associated with maternal
diabetes
associated with
gastrointestinal and
genitourinary abnormalities
weakness of pelvic
musculature
SPRENGEL
ANOMALY
left scapula is high, small
and medially rotated
scapula hypoplastic and
muscles weak
MYELOMENGO
CELE
lumber region - sac like
structure
abnormalities of lower
limbs
bladder and bowel
dysfunction
hydrocephalus
RI CKETS
enlargements of
costochondral junction
NEONATAL
MASTI TI S
neonatal breast
development is common
sometimes infection due to
staphylococcus areas
redness, swelling and
tenderness of right breast
treatment with antibiotics
POLAND
ANOMALY
boys
right side
hypoplasia of pectoralis
major
syndactly
HARRI SON
SULCUS
horizontal sulcus on the
lower part of chest wall
rickets and chronic
respiratory illness
ASTHMA
barrel shaped chest
CHRONI C UPPER
AI RWAY
OBSTRUCTI ON
secondary to tonsils and
adenoids
may lead to osa, day time
sleepiness, cor pulmonale
PECTUS
CARI NATUM
often notable after puberty
avoid surgery
NOONAN
SYNDROME
pectus carinatum superiorly
and pectus excavatum
inferiorly
webbing of neck
short stature, cardiac
abnormalities,
hypertelorism,low set
ears,downslanting palpebral
fissures and ptosis

ACCESSORY
NI PPLE
minor anomaly in both
sexes
mistaken for nevei
no treatment
PECTUS
CARI NATUM
isolated abnormality
results in chronic
respiratory obstruction and
rickets
seen in turner and marfan
syndrome
no surgical treatment
PREMATURE
THELARCHE
isolated breast development in
children less then 3 years
no other evidence of puberty or
growth acceleration
menarche at normal age
u/s shows ovarian cysts but
ovary and uterine size normal
followup to monitor growth and
other evidence of precocious
puberty