رضيع عمره ٣ أشهر، وُلد خديجاً وكان عنده نزيف دماغي. في زيارة المتابعة، محيط رأسه يزيد بسرعة أكثر من المعتاد على منحنى النمو، واليافوخ منتفخ، وعيناه تنظران للأسفل، ويرضع أقل. ماذا يشك الممرض؟

A 3-month-old born preterm with a brain haemorrhage attends follow-up. His head circumference is rising faster than expected on the growth chart, the fontanelle is bulging, his eyes look downward and he feeds less. What does the nurse suspect?

1. Hydrocephalus
2. Middle ear infection
3. Vitamin D deficiency
4. Normal rapid head growth

Answer: A) Hydrocephalus. Rapid head growth with a bulging fontanelle and sunset eyes are signs of infant hydrocephalus. Head circumference is measured regularly and imaging arranged.