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Pediatrics General 17278ff1

Which of the following will our the diagnosis of respiratory distress syndrome (RDS) in new born?

A
Receipt of antenatal steroids
B
Air bronchogram in chest x-ray
C
Manifests after 6 hours
D
Occurs after term gestation
High-Yield Explanation
Respiratory distress syndrome (RDS) or Hyaline membrane disease (HMD): It is the commonest cause of respiratory distress in a preterm neonate often less than 34 weeks of gestation. Other risk factors for its development includes asphyxia, acidosis, maternal diabetes and caesarean section. Respiratory distress usually manifest within first 6 hours of life. Administration of antenatal coicosteroids reduces the incidence of RDS, Necrotising enterocolitis and Intraventricular hemorrhage. Chest X-ray features of RDS: Bilateral diffuse reticulogranular opacities in the pulmonary parenchyma, pronounced hypoaeration, ground glass opacity, low lung volume, "prominent air bronchograms" (aerated bronchioles superim posed on a background of collapsed alveoli) or whiteout lung.

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