Endgames Spot Diagnosis

A neonate with dyspnoea

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i2361 (Published 28 April 2016) Cite this as: BMJ 2016;353:i2361
  1. Yong-Hai Zhou, consultant paediatrician1,
  2. Ming-Hua Zheng, consultant hepatologist2
  1. 1Department of Paediatrics, Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China
  2. 2Department of Hepatology, Liver Research Centre, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China
  1. Correspondence to: M-H Zheng zhengmh{at}wmu.edu.cn

A newborn boy presented to the neonatal intensive care unit with dyspnoea at birth. He was born at 40+1 weeks’ gestation and weighed 2950 g, with Apgar scores of 9 at one minute and 9 at five minutes. On examination, his left lung breath sounds were absent and bowel sounds could be auscultated in the left thoracic cage. His respiratory rate was 70 breaths/min and there were no other …

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