Discussion in 'Spot Diagnosis' started by bb100, Mar 22, 2013.
A chest X-ray film taken shortly after birth.
Re: pediatric case
i can see diffuse ground glass ( actually, granular ) opacity and an endotracheal tube. can't appreciate any air bronchograms ( may be the bronchii have not off-loaded the fluid yet )
i go for neo-natal respiratory distress syndrome due to surfactant def.
-infant born to diabetic mother
I think the endotracheal tube is in the oesophagus.
fracture in clavicoacromial joint (we can see a free acromial end of clavicle).
endotracheal tube is putten becase this fracture requires an operation.
Trisomy 21 in newborn infants: 11 rib pairs; bell-shaped chest.
I think so there is endotracheal tube is in the oesophagus - pneumoesophagis
no, the esophagus runs down on the left side and the ett is pointing to the right.
1) the ett could be in the rt bronchus ( but it seems to be well above the carina )
2) it could be slightly twisted
in both cases the air entry will be preferentially into the right side.
the differential air entry into either side ( left or right ) with the endo tracheal tube, above the carina, is courtesy the "Conada effect"
For those who may be wondering about the "Conada Effect" - it just means than when a fluid moves past a curved surface it loves to caress it, creating a venturi like effect.
I cud hav easily used another example, than this boring candle and jar...but U guys are free to imagine......
Below is an illustration, showing diff. air entry into left side.
So if withdrawing the ETT dosen't help, think of this possibility and try changing/correcting the axis of ETT.
Correct Answer : surfactant deficiency disease (synonyms;Infant respiratory distress syndrome , hyaline membrane disease )
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