What would your differential diagnosis be

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Reference no: EM134006395

Problem

An infant appearing to be 38-weeks gestational age was delivered in the ambulance on way to the hospital via spontaneous vaginal delivery to a 33-year-old mother who did not receive prenatal care. She had meconium-stained amniotic fluid, and her membranes ruptured at delivery. Apgar scores were 3 and 6 at 1 and 5 minutes, respectively. Mother was unaware of her current pregnancy and had a history of preeclampsia, and 2 prior spontaneous abortions. There was no history of maternal medication use during pregnancy; however, a urine drug screen was positive for amphetamines, methamphetamines and benzodiazepines. Mother's history was also significant for a prior term twin delivery. You are called to the ER to meet the infant at arrival. The infant has an omphalocele, microcephaly, widened sutures, epicanthal folds, microphthalmia, cleft lip and palate, low-set ears, polydactyly bilaterally on hands, feet have polydactyly as well as syndactyly of both feet, with prominence of the heels. What would your differential diagnosis be? Get the instant assignment help.

Reference no: EM134006395

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