A newborn male infant is born to a mother with normal spontaneous vaginal delivery attend to Pekanbaru hospital, Indonesia). He cries immediately, hours later he very thacypneic... he had severe retraction! Can you diagnose this ?? This similiar thread already i'hav posted in Medical Geek Forum, haha
Related Self Assessment Question A newborn infant suffers from a posterolateral defect on the left side of the body. His abdominal contents have herniated through the defect into the thoracic cavity, and as a result, the infant suffers from pulmonary hypoplasia. His breathing difficulty is life threatening because the herniation has inhibited lung development and inflation. This congenital defect is due to a malformation of which of the following? A. mesentery of the esophagus B. muscular ingrowth of the body wall C. pleuropericardial membrane D. pleuroperitoneal membrane E. septum transversum EXPLANATION: congenital defect of the pleuroperitoneal membrane results in an abnormal opening in the posterolateral aspects of the diaphragm. This defect occurs more often on the left side of the body. It is due to the failure of the pleuroperitoneal membrane to form properly and/or to fuse with the other parts of the diaphragm: the mesentery of the esophagus (choice A), the muscular ingrowth of the body wall (choice B), and the septum transversum (choice E). The pleuropericardial membranes (choice C) participate in the formation of the mediastinum and do not contribute to the formation of the diaphragm. The answer is D. (Y)
