You are called to attend a term delivery with hydronephrosis…

You are called to attend a term delivery with hydronephrosis with a dilated bladder. At delivery, the infant’s had 8/9 apgars and is breathing comfortably on room air. Your physical exam includes bilateral cryptorchidism and flaccid abdominal musculature. The most likely diagnosis is

You are called to evaluate an infant in mother’s room becaus…

You are called to evaluate an infant in mother’s room because the nurse noted several unusual markings when giving the first bath. You note four hypo-pigmented leaf-shaped white macules.  This was a spontaneous delivery with membranes ruptured 12 hours, RPR, HIV and Hepatitis B negative.  What do you suspect?