1. The radiological finding typically showed
A 26-week-gestation, 719-g preterm infant b borne after emergency C/section. After initial resuscitation, observe to be tachypnic, with intercostals retraction
The radiological finding typically showed
Ground glass appearance with bronchogram
Collapse consolidation
Diffuse atelectasis
Pulmonary edema with pleural effusion
pneumothorax

2. RDS or HMD

3. The treatment of choice
Inhaled Nitric oxide
Intravenous steroid
Intra-tracheal instillation with surfactant
IV antibiotics
Inhaled steroid

4. HMD 48 hours after initial improvement
sudden collapse with brady cardia and
Hypoxia
ABG PH 7.1
PaO2 40
Paco2 67
Bicar 12
BE - 13
What is your diagnosis?

5. What is the most important step In the management?

6. Air Leak syndrome

7. BPD

8. Case 3
Three days after birth, shows increase in oxygen demand and ventilator settings. Physical examination discloses a systolic murmur in the left infraclavicular region, prominent cardiac impulse to palpation, and presence of palmar pulses.

9. The treatment of choice in this preterm infant
IV lasix
IV digoxin
IV antiboitics
IV prostaglandine
IV Indomethacin

10. Treatment

11. Case 4
A 19-day-old male infant, whose birth weight was 980 g and estimated gestational age at birth 27 weeks, has sudden onset of apnea and bradycardia, temperature instability, and lethargy. He also has increased gastric residuals, abdominal distension, and bright red blood in stools,

12. Abdominal examination reveals absence of bowel sounds, tenderness with guarding to touch, no palpable mass, and no skin discoloration.

14. Intestinal perforation Sepsis and paralytic illus NEC
Of the following, the clinical and radiographic findings in this infant are MOST consistent with :
Intestinal perforation
Sepsis and paralytic illus
NEC
Intestinal obstruction
Cystic fibrosis

15. Treatment NPO Gastric decompression IV antibiotics
Radiological follow up
Surgical consultation
Nutritional support

16. The early intestinal complication is
Intestinal adhesion
Intestinal perforation
Intestinal obstruction
Malabsorbtion with vilous atrophy
volvulus

18. ABG
PH 7.16
PaO2 43
PacO2 67
Hco3- 14
BE - 12

20. What is /are your differential diagnosis?
How do you manage this neonate?
Investigation
Treatment
Prognosis and complication

21. TTN

22. The end Thank you