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Things I Do But Should I: Sacral Dimples

Vanessa Cardy, MD and Adrien Selim, MD
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Review an approach to the neonate with a sacral dimple.

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Edith L. -

Hey! Thanks for the Chapter, very helpful. I had a situation recently where I had a sacral dimple on a newborn (no high risk criteria) and when I called the paediatrician surgeon, she told me to 1) get a lumbar/sacral spine xray AND a sacral ultrasound to r/o spina bifida occulta and spine anomaly. Is that common practice in your area too?

Thanks!

Edith

Vanessa C. -

It certainly wouldn't be standard practice where I work and I think we can be reassured by the evidence that with a simple dimple in a low risk patient, the negative predictive value is 100%. Those are odds I can get behind. Adrien, any thoughts on this?

(Sorry for the delay in responding!)
Vanessa

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Best Weight, Best Exercise! Full episode audio for MD edition 195:42 min - 92 MB - M4AHippo Peds RAP September 2016 Summary 705 KB - PDF