Crying in the Newborn

Question 1

Describe abnormal cries of the newborn

Answer 1

Weak/whimpering in lethargic –> sepsis
High-pitched/shrieking –> neurological problem (i.e. NAS)
Hoarse –> vocal cord paralysis or vocal cord growth

Question 2

What condition should you suspect in an infant who is cyanotic except when crying?

Answer 2

Bilateral choanal atresia.

Remember: infants are obligate nose breathers