Malouf Lectures Block 3 Spring 2011

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Can you name the Malouf Lectures Block 3 Sprin 2011?

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Presenting complaints: Acute and persistent respiratory illnesses (51%), failure to thrive or malnutrition (43%), abnormal stool or steatorrhea (35%)
Most common respiratory disorder in newborns.
A normal pattern of infant breathing defined by 3 or more periods of apnea lasting at least 3 seconds and separated by 20 seconds of breathing.
Due to immature alveolar cells that produce less surfactant, decreased compliance, atelectasis, lung tissue ischemia, sloughing of tissue and edema.
Name a risk factor for SIDS. Lack of adequate prenatal care, young maternal age (adolescent mother
SIDS prevention Counsel on smoking cessation, avoid overheating
Neonatal respiratory physiology has a more compliant chest wall, greater reliance on diaphragm, smaller and fewer alveoli, and smaller and more _________ inthrathoracic airways.
Name a risk factor for CLD
Risk factors are cesarean delivery, macrosomia, male sex, maternal asthma, and maternal diabetes.
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Carrier rate of CF gene in white population is 1 in __
CXR: Hyperinflation with clear lung parenchyma except for perihilar linear densities and fluid in the fissures, no consolidations.
CXR: Varies between hyperinflation and perihilar infiltrates (like TTN) to significant heterogenous lung disease with hyperinflated and hypoinflated areas, patchy and linear infilt
Persistent supplemental oxygen requirement with an abnormal CXR examination at 36 weeks, postconceptual age in an infant who required positive pressure ventilation in the 1st wk
CXR: Decreased lung inflation with diffuse symmetrical reticulogranular (ground glass appearance) lung fields and air bronchograms.
SIDS DDx
Name a common pathogen in CF GNRs: Pseudomonas aeruginosa, Burkholderia cepacia, Klebsiella pneumoniae
Prematurity, genetic predisposition, patent ductus arteriosus, malnutrition, and positive pressure ventilation are risk factors for _______.

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