Case presentaion: A neonate with respiratory distress since birthCreated by:
A 13 days old male baby was admitted in the pediatric surgery dept. of DMCH with the complaints of respiratory distress since birth and occasional bluish coloration during feeding and crying .There was no history of cough, but mild chest indrawing and sternal recession was present. There was no history of vomiting or nasal frothing. His bowel and bladder habit were normal.
Baby was ill-looking, average nutritional status, heart rate-140/min, respiratory rate-65/min, temp-99 F , wt-3.3 kg. Left side of chest wall bulged anteriorly.
Movement of the chest diminished on left side, trachea deviated to right, percussion note tympanitic & breath sound diminished on left side. Bowel sound present on left side.
Apex beat noted on right 5th intercostal costal space just medial to the MCL.
•Abdomen was scaphoid shaped, umbilicus was centrally placed, no visible peristalsis. Bowel sound was audible.
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