Dr Saffiullah AP paeds

 At the end of this discussion you should be able to 1.Know what constitutes respiratory distress in neonates 2.Make the underlying diagnosis of important conditions presenting as respiratory distress in neonates 3.Arrange appropriate investigations and management of a neonate with respiratory distress

 Tachypnea  Chest recession  Nasal flaring  Grunt  Aponea  Hypoxia  Cyanosis

 A 2 hours old baby born at 28 weeks of gestation developed respiratory distress.

 A 3 hours old baby born at 42 weeks of gestation developed respiratory distress. According to the midwife he required resuscitation at birth and there was meconium stained liquor.

 A 6 hours old baby born at term developed respiratory distress. There is also history of PROM>24 hours, foul smelling liquor and his mother was treated for UTI.

 A 2 hours old baby developed respiratory distress. He was born by NVD at term. Midwife reported small mandible and cleft palate.

 A 3 hours old baby of an IDDM mother developed respiratory distress.

 A 4 hours old baby born at term by NVD developed respiratory distress. On examination his femoral pulses were not palpable.

 A baby born at term by caesarean section developed respiratory distress. There is no other significant history reported and his mother is well.

 A full term baby born by NVD developed respiratory distress soon after birth. His mother did not had any antenatal scan. Examination showed scaphoid abdomen.

 Thank you