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The patient is a fetus that was the stillborn product of a gestation
estimated to have been 31 weeks by dates. The mother was a 34 year old
gravida 5 para 1,0,3,1, normal appearing Caucasian woman. Routine prenatal
ultrasound performed at 18 weeks revealed skeletal dysplasia with shortened
limbs. Amniocentesis was performed and chromosome analysis was normal.
A fetal skeletal survey performed at 28 weeks demonstrated findings consistent
with a lethal form of short-lived dwarfism. The patient was delivered
by breech vaginal delivery. APGAR scores were 0 at one minute and 0 at
five minutes after birth. Multiple congenital anomalies were noted at
birth. Resuscitative measures were not performed.
1.
What is dwarfism?
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