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Subjects/Pediatrics/Pediatrics
Pediatrics
medium
smile Pediatrics

A term gestation newborn developed respiratory distress. Which of the following would favour Respiratory distress syndrome (HIVID) ?

A. History of receiving antenatal corticosteroids
B. Air bronchogram on chest x–ray
C. Onset of distress after 6 hours of birth
D. Term birth

Explanation

chest x-ray of an infant with RDS is characterized by atelectasis, air bronchograms, and a diffuse reticular-granular pattern commonly referred to as "ground glass". The chest x-ray may progress to a complete "white out" with severe disease. About other options Antenatal corticosteroids are given in pre-term (pre-mature) pregnancies not in term pregnancies. Further, antenatal corticosteroids are given to prevent RDS (HMD) --> after antenatal corticosteroids administration, risk of HMD is reduced. Respiratory distress occurs within first 6 hours. HMD occurs in pre-term neonate.

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