A New born weighing 1000g is born at gestational age of 30 weeks with respiratory distress after 2–3 hours of birth. What are the diagnostic possibilities –
Correct Answer: All of these
Description: Pulmonar causes of neonatal res irator distress
Respiratory distress syndrome (hyaline membrane disease)
Meconium aspiration syndrome
Pneumonia
Transient tachypnea of newborn
Persistent pulmonary hypertension
Congenital malformation —> TEF, Diaphragmatic hernia, lobar emphysema, pulmonary hypoplasia.
Upper airway obustruction --> choanal atresia, vocal cord palasy, lingual thyroid.
Pulmonary hemorrhage
Coming back to question -
The newborn baby in this question is preterm neonate (born before 37 weeks).
Diaphragmatic hernia may occur in term or preterm infants and may present as respiratory distress soon after birth.
Hyaline membrane disease (HMD) is a disease of preterm neonates and present as respiratory distress during first 6 hours of life.
Bronchopulmonary dysplasia (BPD) occurs most commonly in neonate of HMD who have been treated with oxygen and positive pressure ventilation ---> Instead of showing improvement on 3rd-4th day, some infants of HMD develop an increased need of oxygen and ventilatory support. So, BPD is not a differential diagnosis of respiratory distress at 2-3 hours after birth.
Category:
Pediatrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now