Respiratory Distress At Term

Question 0

Symptoms of resp distress in term

Answer 0

Cyanosis
Tachypnea
Laboured breathing
Ex grunt

Question 1

Causes for respiratory distress at term

Answer 1

PULM
          -TTN -commonest 
          Functional prob-aspiration(milk,mecon)
RDS
Pneumothorax
Pneumonia
PPHT 
           structural -
Choanal atresia
TOF
D  hernia
Plum hypuloplasia

NON PULM -
         CHD
          Severe anaemia
          Encephalopathy 
          Met acidosis

Question 2

TTN Pathophysiology

Answer 2

Delayed absorption if lung fluid

Question 3

X ray finding TTN

Answer 3

Fluid in horizontal fissure

Question 4

Mx TTN
Settles when
How to diagnose

Answer 4

Ox
Within first day
If exclusion

Question 5

Mecon aspiration pathophysiology

Answer 5

Mechanical obstruction

Chemical pneumonitis

Question 6

Complications if meco asp3

Answer 6

Infection
Pneumothorax
PPHT

Question 7

X ray findings in mecon asp 3

Answer 7

Overinflated lungs
Collapse
consolidations

Question 8

Pneumonia risk factors 3

Answer 8

LBW
PROM
Chorioamnionitis

Question 9

Pneumothorax risks factors 3

Answer 9

Spontaneous
Meconium
RDS
ventilation

Question 10

Milk aspiration risk factors4

Answer 10

Preterm
Cns probs
Cleft palat
GORD

Question 11

PPHT risk factors 4

Answer 11

Asphyxia
RDS
Meconium asp
Sepsis

Question 12

Present how and when PPHT

Answer 12

Cyanosis at birth

Question 13

Main ix and why PPHT

Answer 13

X-ray -pul oligaemia
Normal heart
Echo -exclude CHD

Question 14

Main treatment 2PPHT

Answer 14

Ventilation

Vasodilator -sildanafil

Question 15

Dia hernia common side
Signs3
Ix to confirm
Complication

Answer 15

Left
Heart sound,apex in left
Reduse air entry 
X-ray abdo and chest
Pulmo hypoplasia

Question 16

Mx2 of D hernia

Answer 16

NG tube for
Decompression
Sx