Question

1. What are your initial observations of the patient in this case? 2. What do you think the diagnosis may be? What are the associated cellular and physiological mechanisms that may be occurring? 3. What are the survival rates associated with this diagnosis? 4. What may be the treatment options for this patient?

Meet Jarod Kockrell mmediately after birth, it was noticed that Jarod had a larger than normal head size relative to his body and a bulge in his lower back. From reviewing the medical history of the mother, it reflects that during pregnancy she was not taking folic acid supplements, did not have an ultrasound, amniocentesis (testing the fluid around the fetus), or alpha-fetoprotein test performed. The newborn weighs 7.5 lbs. and is 20 inches in length His vital signs are: Temperature: 98.6° F Pulse: 144 beats/minute Respirations: 40 breaths/minute

He has a bulging fontanel (soft spot on the skull) and a high-pitched cry. His head circumference is 15.8 inches, and his chest circumference is 13.4 inches. The head circumference of a normal neonate is within 1 inch of the chest circumference; Jerod's is 2.4 inches larger than his chest. In the lumbar region of his spine, a sac- like projection is noted.

Answer 1

1.jarod had a larger head and a sac like projection is noted at the back we have to address these two issues mainly.

2.soft spot bulging may have different potential causes it may be due to hydrocephalus or encephalitis ...raised intracranial pressure and lower back issue may be spina bifidia.

3.only few people may survive..there is a chance of 20℅ survival rate

4.ventriculo peritonial shunt is often performed to drain the excess fluid from the brain and spinal fusion surgery is carried to address the lower back issue.