Asphyxial injury in a term baby is characterized by all except –

Effects ofAsphaxia : Central nervous system-                                                            Cardiovascular Hypoxic ischemic encephalopathy                                        o Myocardial ischemia Infarction                                                                                    o Poor contractility Intracranial hemorrhage                                                           o Tricuspid insufficiency Seizures                                                                                        o Hypotension Cerebral edema                                                                    o Pulmonary Hypotonia                                                                                   o Pulmonary hypertension Hypertonia                                                                                  o Pulmonary hemorrhage                                                                                              o Respiratory distress syndrome   Renal                            —> Acute tubular or cortical necrosis Adrenal                        —> Adrenal hemorrhage Metabolic                    --> SIADH, Hyponatremia, Hypoglycemia, Hypocalcemia, Myoglobinuria Integument                  -+ Subcutaneous fat necrosis Hematology                -p DIC Gastrointestinal          —> Perforation, Ulceration with hemorrhage, Necrosis During asphyxia the infant may remain hypotonic or change from hypotonia to extreme hypertonia or their tone may appear normal. These changes are seen simultaneously and the change in muscle tone is also of the same degree in both the limbs.