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 diseaseB. 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.
