QuestionSBA
QuestionChoice
The most likely diagnosis is transient tachypnoea of the newborn, which is the most common aetiology of neonatal respiratory distress. The chest radiograph shows features of fluid congestion in the lungs with a trace seen within the right horizontal fissure. Caesarean section is a significant risk factor for transient tachypnoea of the newborn, as the neonate is not subject to the compressive forces of the vaginal canal during delivery which would aid in fluid absorption.
10036052
a
Caesarean section delivery
QuestionChoice
The most likely diagnosis is transient tachypnoea of the newborn, which is the most common aetiology of neonatal respiratory distress. Maternal sepsis may predispose the newborn to neonatal sepsis, however this would not present immediately after delivery.
10036053
b
Maternal sepsis
QuestionChoice
Meconium aspiration syndrome is a differential in this case, however, The most likely diagnosis is transient tachypnoea of the newborn, which is the most common aetiology of neonatal respiratory distress. This is due to the clinical history (Caesarean section delivery and no mention of meconium staining) and the radiographic findings of fluid overload.
10036054
c
Meconium stained liquor
QuestionChoice
The most likely diagnosis is transient tachypnoea of the newborn, which is the most common aetiology of neonatal respiratory distress. Prematurity is a risk factor for the condition, however, in this case, the baby has been delivered at 39 weeks' gestation. Caesarean section is a significant risk factor for transient tachypnoea of the newborn, as the neonate is not subject to the compressive forces of the vaginal canal during delivery which would aid in fluid absorption.
10036055
d
Prematurity
QuestionChoice
The most likely diagnosis is transient tachypnoea of the newborn, which is the most common aetiology of neonatal respiratory distress. Caesarean section delivery is the greatest risk factor in this particular case. Maternal cardiac disorders are not linked to the development of the condition.
10036056
e
Maternal cardiac disease
QuestionComment
whers the fluid consolidation?

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Malignant Syndrome
Concept
Chapter
2693
6183
Transient tachypnoea of the newborn
Topic
153
Paediatrics
19614
Transient tachypnoea of the newborn commonly occurs after Caesarean section due to inadequate clearance of pulmonary fluid.
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A neonate born at 39 weeks gestation by elective Caesarean section is noted to be tachypnoeic and in respiratory distress shortly after delivery.

Observations:

* Heart rate: 187 beats/minute (100 - 205 beats/minute)
* Respiratory rate: 67 breaths/minute (30 - 50 breaths/minute)
* Oxygen saturations (room air): 98%

A chest x-ray was performed:

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Given the most likely diagnosis, which of the following is the greatest risk factor for this condition in this case?
a