QuestionSBA
QuestionChoice
The most likely diagnosis is caput succedaneum, a self-limiting and benign condition characterised by scalp oedema after childbirth. Attempting to aspirate any fluid/blood would be inappropriate.
10036036
e
Diagnostic aspiration
QuestionChoice
The most likely diagnosis is caput succedaneum, a self-limiting and benign condition characterised by scalp oedema after childbirth. No further investigations are required in this case. Baseline blood tests should be considered for other causes of head swelling e.g. subgaleal haemorrhages.
10036033
b
Full blood count and clotting profile
QuestionChoice
The most likely diagnosis is caput succedaneum, a self-limiting and benign condition characterised by scalp oedema after childbirth. No further investigations are required in this case.
10036034
c
Cranial ultrasound scan
QuestionChoice
The most likely diagnosis is caput succedaneum, a self-limiting and benign condition characterised by scalp oedema after childbirth. No further investigations are required in this case. Imaging may be considered for other conditions e.g. craniosynostosis.
10036035
d
Skull x-ray
QuestionChoice
The most likely diagnosis is caput succedaneum, a self-limiting and benign condition characterised by scalp oedema after childbirth. This can occur in unassisted deliveries due to external pressure from the birth canal but is made more likely by vacuum or forceps-assisted births.
10036032
a
No further investigations are required
QuestionComment
Would you not want to double check that your diagnosis is right though lol
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Amnesia Contusion
QuestionComment
why is a subgaleal haematoma not a concern?
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Syndrome Hematoma
Concept
Chapter
2693
6181
Caput succedaneum
Topic
153
Paediatrics
19610
Caput succedaneum is a benign, self-limiting scalp swelling in newborns, often resulting from vacuum-assisted deliveries. It typically resolves within a few days without treatment.
The mother of a 12-hour-old baby in the post-natal observation unit is concerned about a swelling on her baby's head. She had a vacuum-assisted delivery but suffered no intrapartum or postpartum complications.

On examination, there is a boggy diffuse swelling with poorly defined margins around the occiput. It appears to cross the suture lines.

What is the best next step to take?
a