Tuesday, October 9, 2012

Block 2 Case 12



 1. An infant of uncertain dates is born via emergent cesarean section after the mother was critically injured in a motor vehicle accident. Birth weight was 1075 g. The infant has poor respiratory effort and you begin bag-mask ventilation but find it extremely difficult to cause chest wall movement.

A chest radiograph reveals diffuse whiteout "ground glass appearance" of both lungs.

The following picture demonstrates the underlying pathology.



a. What is the diagnosis?



b. Less than how many weeks is the gestational age of this infant?



c. Using the following Electron Mircrograph of a type II pneumocyte name the major pathophysiological reason behind this event, name what is stored inside the object identified by the arrow, and what gestational week it is synthesized..


d. Name three etiologies of this condition.



e. The treatment for this is CPAP with endotracheal tube with O2 and surfactant. Name 3 of the 5 complications this syndrome can cause:



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