fontanelles, excessively large…

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skull of a newborn, fontanelles, large fontanelles, lateral view, large fontanelles, soft spot, large skull, the newborn is made up of boney plates, in the skull, in the facial area, join together to form a solid, bony cavity protecting the brain, supporting the structures, the head, areas, bones join together, sutures, bones, not joined together firmly at birth, allows the head to pass, the birth canal, sutures gradually accumulate minerals, harden by a process, ossification, firmly joining the skull bones together, in an infant, spaces where sutures come together, not completely joined, the soft spot, covered by a membrane, medical term, such spaces is fontanelle, fontanel, fonticulus, fontanelles allow, growth, the skull, an infant's first year, two fontanelles, evident on a newborn's skull, one on the top, in the middle, forward of center, in the back, in the middle, sutures, fontanelles gradually ossify, become closed, solid, bony areas, posterior fontanelle, the head, closes by the time an infant is 1, 2 months old, anterior fontanelle, top, the head, closes sometime between 9 months, 2 years, a wide fontanelle occurs, the fontanelle is larger in size than expected, the age, the baby, incomplete ossification, the skull bones, often the cause of a wide fontanelle, delayed closure, larger-than-normal fontanelles, most commonly, intrauterine growth retardation, iugr, prematurity, hydrocephalus, down syndrome, achondroplasia, rarer causes, hypothyroidism, rickets, osteogenesis imperfecta, congenital rubella, seldom, immunization begun, mmr, measles, mumps, rubella, vaccine, apert syndrome, cleidocranial dysostosis, think that the fontanelles on baby's head, excessively large, quite often this sign, have been detected, first newborn examination, in the hospital, medical history, a physical examination performed, medical history, the symptom in detail, time pattern, did first notice that the fontanelle looked large, location, "soft spots", quality, always the same, change in any way, have large fontanelles been present, previous babies, finding, discovered by the health care provider, parents, not have been aware of its presence, physical examination, repeated assessment, the size, the fontanelles, head circumference over several months, help determine abnormalities, the fontanelle, head growth, transillumination, the skull using a bright light, help determine, hydrocephalus, "water on the brain", a relatively common cause of an enlarged fontanelle, transillumination, help discern separated sutures, diagnostic tests, head circumference measurements, transillumination, the skull, generally, in the newborn, infant of only a few weeks, ultrasound, the head, head x-rays, ct scan, mri, specific tests, suspected causes, serum thyroxin, t3, t4, suspected hypothyroidism, a diagnosis was made by health care provider, the large fontanelles, want to note that diagnosis in child's personal medical record, want to document own findings, the child's head circumference, grows.