[Anatomico-clinical study of perinatal mortality].
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There were 100 babies examined within 24 hours of birth. Retinal hemorrhages were found in 35% of newborns. Birth trauma from forceps delivery and prolonged labor were thought to be significant. Babies born by cesarean section were less likely to have retinal hemorrhages. Asphyxia was also found to be significant. The role of low plasma prothrombin levels, the vacuum extractor and increased intracranial pressure were discussed as etiologic agents. According to Von Noorden in 1973 there appears to be no positive correlation between hemorrhage of the macula and the occurrence of strabismus.
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A case of adrenal hemorrhage treated supportively resulted in an adrenal abscess. Onset of fever after a nonoperative approach should lead to consideration of surgical exploration for an adrenal abscess.
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