QuestionSBA
QuestionChoice
The abdominal viscera and bowel tend to push the heart from its normal anatomic location with heart sounds often better auscultated on the right side.
10034925
d
Normal heart sounds in the expected location
QuestionChoice
This is suggestive of patent ductus arteriosus whereby the abnormal connection between the aorta and the pulmonary artery fails to close after birth which can present asymptomatically with a 'machinery murmur' or with symptoms of shortness of breath, poor feeding, poor weight gain and respiratory infections.
10034924
c
Continuous machinery murmur
QuestionChoice
This is suggestive of neonatal respiratory distress syndrome caused by a lack of lung surfactant in premature babies associated with high morbidity and mortality.
10034923
b
Diffuse crackles with globally decreased air entry
QuestionChoice
Children with congenital diaphragmatic hernias are extremely unlikely to have normal lung sounds on auscultation.
10034926
e
Normal lung sounds
QuestionChoice
This is correct. This vignette is suggestive of a diagnosis of congenital diaphragmatic hernia which is associated with an extremely high mortality with the bowel, stomach and possibly liver moving into the chest cavity. Auscultating the bowel in the thoracic cavity would result in tinkling sounds.
10034922
a
Tinkling sounds
QuestionComment
Im gonna fail my exmasss. meow
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Meowywowy
QuestionComment
Is the cyanosis from viscera compressing on lungs/heart?
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Yersinia Gastro
QuestionComment
Litch never heard of a scaphoid abdomen and finals in 3 days
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Positive Whiff Test
Concept
Chapter
2693
6104
Congenital Diaphragmatic Hernia
Topic
153
Paediatrics
19388
Congenital diaphragmatic hernia can cause bowel sounds in the thorax, leading to characteristic tinkling sounds on chest auscultation.
A 35-week-old baby is born in the maternity ward. Five minutes after birth, the baby appears to be grunting and is cyanosed with an oxygen saturation of 80%. Inspection reveals a scaphoid abdomen and a barrel chest.

Which of the following features are likely to be present on auscultation of the chest?
a