A new born with respiratory distress with RR 86/min, nasal flaring, audible grunting, abdomen lagged behind chest respiratory movement, no lower chest or xiphoid retraction. What is silverman&;s score
Correct Answer: 5
Description: Silverman Anderson Score (SAS) are widely used for the categorization of respiratory distress in neonates. It consists of five items: (1) chest retraction as compared with abdominal retraction during inhalation; (2) retraction of the lower intercostal muscles; (3) xiphoid retraction; (4) flaring of the nares with inhalation; and (5) grunting on exhalation. Chest movement- synchronized(0) vs. minimal lag(1) or sinking of the upper chest as the abdomen rises. In the most extreme instances, a seesaw-like movement of the chest and abdomen is observed and would be given a score of 2. Intercostal retractions- retraction between the ribs is rated as none(0), minimal(1)or marked(2). Xiphoid retractions- retraction below the xiphoid process are rated as none(0), minimal(1) or marked(2). Nasal flaring- no nasal flaring: 0. Minimal flaring is scored 1 and marked flaring is scored 2. Expiratory grunting- no grunting: 0, grunting that is audible with a stethoscope is scored 1, and grunting that is audible without using a stethoscope is scored 2. Adequate ventilation is indicated by a 0, severe respiratory distress is indicated by a score of 10. Reference: GHAI Essential pediatrics, 8th edition
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