TRANSIENT TACHYPNEA OF THE NEWBORN Flashcards

1
Q

Definition

A

o Commonest self-limited respiratory distress in full term

o Due to delay in clearance of fetal lung liquid

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2
Q

Risk factors

A
o Cesarean section 
o Maternal asthma and smoking 
o Maternal diabetes
 o Maternal excess analgesia 
o Perinatal asphyxia
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3
Q

Clinical picture

A

y Mild respiratory distress (tachypnea) within few hours after birth.
y The chest generally sounds clear without rales or rhonchi ( “quiet”

tachypnea)
y Spontaneous resolution usually occur within 72 hours

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4
Q

Chest X-ray

A

o Prominent perihilar streaking, which correlates with the engorgement of the

lymphatic system with retained lung fluid
o Fluid in the fissures
o Hyperinflated lung& mild cardiomegaly

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5
Q

TX

A

Supportive care as before

1- Provide oxygen as needed

2- Antibiotics

3- Infants with significant distress have poor bowel motility and require IV fluids

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