Medical MCQ-A newborn has dribbling after feeds. She presents with respiratory distress and frothing from the mouth. What is the likely diagnosis:

A newborn has dribbling after feeds. She presents with respiratory distress and frothing from the mouth. What is the likely diagnosis:

Parotid hyperplasia

Tetralogy of fallot

Respiratory distress syndrome

Tracheoesophageal fistula

Question Category:

Pediatrics

Correct Answer:

Tracheoesophageal fistula

Description:

Feeding is often associated with coughing, drooling, choking and cyanosis in a neonate with Tracheoesophageal fistula. The excessive salivation is due to the associated oesophageal atresia. The earliest clinical symptom is polyhydramnion, which indicates oesophageal atresia. Ref: Kliegman, Behrman, Jenson, Stanton (2008), Chapter 316, "Congenital Anomalies: Esophageal Atresia and Tracheoesophageal Fistula", In the book, "NELSON TEXTBOOK OF PEDIATRICS", Volume 2, 18th Edition, New Delhi, Pages 1543-44 ; Bailey and Love's Sho Practice of Surgery, 24th Edition, Page 994

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