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A Newborn Boy Is Being Evaluated in the Nursery

question 38

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A newborn boy is being evaluated in the nursery.  The patient was born at 39 weeks gestation via cesarean delivery to a 30-year-old primigravida.  Head circumference, weight, and length are at the 75th to 90th percentiles.  The anterior fontanelle is open and soft.  The neck is supple.  Cardiopulmonary examination is unremarkable, and the abdomen is soft.  The back appears unremarkable.  Hip examination shows no hip clicks.  Both feet are plantar flexed and adducted with the soles pointing medially.  There is resistance to range of motion assessment in both feet.  Muscle tone is normal and newborn reflexes are intact.  The abnormal findings on this patient's physical examination most likely represent which of the following types of congenital anomalies?

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Definitions:

Concentrated KMnO4

A strong oxidizing agent in concentrated form, potassium permanganate (KMnO4) is used in various chemical reactions, particularly in organic chemistry for oxidation reactions.

Oxalyl Chloride

A colorless liquid organic compound with the formula (COCl)2, used as a reagent in organic synthesis, notably for the introduction of the acyl chloride group.

Phenylacetic Acid

A white, crystalline organic compound with a honey-like odor, used in perfumes and as a precursor in the synthesis of penicillin.

Products

The results or outcomes derived from various processes, including chemical reactions.

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