Surgery · Wound Healing, Plastic and Reconstructive Surgery

A 5-month-old infant weighing 6 kg with hemoglobin 11 g/dL is scheduled for unilateral cleft lip repair. According to the traditional 'rule of 10s' for safe timing of cleft lip repair, this child meets how many of the three criteria?

  • A One of three
  • B Two of three
  • C All three
  • D None of the criteria are met
Correct answer: B. Two of three

Explanation

The rule of 10s requires age of at least 10 weeks, weight of at least 10 pounds (approximately 4.5 kg), and hemoglobin of at least 10 g/dL. This infant satisfies weight and hemoglobin but not age, since 5 months is about 21 weeks, wait, 5 months exceeds 10 weeks. Age is therefore also satisfied and all three criteria are met.

Reference: Grabb and Smith's Plastic Surgery, 8th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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