Newborn with APGAR score of 2 at 1 min & 6 at 5 min. has respiratory distress & mediastinal shift. Probable diagnosis is.
A. Congenital adenomatoid lung disease
B. Pneumothorax
C. Diaphragmatic hernia
D. Transient tachypnea of newborn
E. HMD
A. Congenital adenomatoid lung disease
B. Pneumothorax
C. Diaphragmatic hernia
D. Transient tachypnea of newborn
E. HMD
Ans.
(C) Diaphragmatichernia
• Apgar score at 1 minute is not so significant but at 5 minutes is significant and further point for reference. As the score is 6, below normal, with respiratory distress and mediastinal shift indicates — congenital diaphragmatic hernia.
• Pneumothorax causes sudden deterioration of respiratory distress, as such not in the history.
• Apgar score at 1 minute is not so significant but at 5 minutes is significant and further point for reference. As the score is 6, below normal, with respiratory distress and mediastinal shift indicates — congenital diaphragmatic hernia.
• Pneumothorax causes sudden deterioration of respiratory distress, as such not in the history.
• Transient techypnea of new born,
onset first 24 hrs of life, but techypnea, respiratory distress is minimal.
* Hyaline membrane disease,
congenital-adenomatous long disease doesn’t produces mediastinal shift.
