By Arnold J. Rudolph M.D., Arnold J. Rudolph MD
This can be a part of a extraordinary 5-volume set representing the existence paintings of the main meticulous photographic archivist in neonatology. Over the process forty years, Dr. Rudolph gathered images of almost each ailment, ailment, and affecting the child. jointly they act as a uniquely strong diagnostic software.
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Additional resources for Atlas of the Newborn: Thorax, Abdomen, Blood, Endocrine, and Metabolic Disorders
Hyaline membranes are proteinaceous exudate from injured type I alveolar cells not lined with surfactant. The lack of surfactant represents immaturity of the type II alveolar cell. 103. Transient tachypnea of the newborn (“wet lung” syndrome) may occur at all gestational ages (most common in term infants) and must be differentiated from hyaline membrane disease. The delayed clearance of excess fetal lung fluid, which normally is partly expelled by the trachea and partly absorbed by the pulmonary lymphatics, describes the physiologic basis for this condition which is most often associated with cesarean births.
136. Clinical findings suggesting the diagnosis of pneumothorax include increasing respiratory distress, a unilateral chest bulge, diminished breath sounds on the affected side, and especially restlessness or irritability. If there is a large tension pneumothorax, there is decreased cardiac output and an elevated central venous pressure with profound circulatory collapse. In this radiograph there is a large left tension pneumothorax pushing the mediastinum and heart to the right. Note the marked depression of the diaphragm.
Note the pulmonary interstitial emphysema, pneumomediastinum, and pneumoperitoneum. 132. 131 2 hours later showing the pulmonary interstitial emphysema on the left side and a large pneumothorax on the right side with collapse of the lung and the continued presence of the pneumomediastinum and pneumoperitoneum. 133. This radiograph of the chest shows massive bilateral pneumothoraces after resuscitative efforts. Note that these are both severe tension pneumothoraces in that both lungs have collapsed and both sides of the diaphragm are concave.