Question 1108
{"accessible":true,"alternatives":[{"id":5535,"text":"meconium aspiration"},{"id":5536,"text":"neonatal infection"},{"id":5537,"text":"neonatal pneumothorax"},{"id":5538,"text":"pulmonary interstitial emphysema"},{"id":5539,"text":"respiratory distress syndrome"},{"id":5540,"text":"transient tachypnoea of the newborn"}],"archived":false,"correctAlternativeId":5539,"explanation":"\u003cp\u003eThere is no humeral head ossification and the chest is small. Appearances suggest a preterm neonate.\u0026nbsp;\u003c/p\u003e\u003cp\u003eNeonates with \u003ca href=\"/articles/transient-tachypnoea-of-the-newborn\"\u003etransient tachypnoea of the newborn\u003c/a\u003e do not require intubation. The child is intubated, so think of a different diagnosis.\u0026nbsp;There is no evidence of \u003ca href=\"/articles/neonatal-pneumothorax\"\u003eneonatal pneumothorax\u003c/a\u003e or \u003ca href=\"/articles/pulmonary-interstitial-emphysema\"\u003epulmonary interstitial emphysema\u003c/a\u003e.\u003c/p\u003e\u003cp\u003eThe pulmonary parenchymal abnormality is diffuse, symmetrical and granular. The most likely diagnosis (despite not being told the gestation or age of the baby) is \u003ca href=\"/articles/respiratory-distress-syndrome\"\u003erespiratory distress syndrome\u003c/a\u003e (surfactant deficiency).\u003c/p\u003e","id":1108,"imageUrl":"https://prod-images-static.radiopaedia.org/images/42135154/8cabd9fe70d64cfc78201ca73dde83_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":62754},"imageAttributionCaseInfo":{"title":"Respiratory distress syndrome","contributor_name":"Jeremy Jones","contributor_param":"drjermy","case_rid":62754,"case_param":"respiratory-distress-syndrome-10"},"firstQuestionPath":"/questions/2688","nextQuestionPath":null,"relatedArticles":[{"id":2198,"title":"Transient tachypnoea of the newborn","link":"/articles/transient-tachypnoea-of-the-newborn?lang=gb"},{"id":12170,"title":"Meconium aspiration","link":"/articles/meconium-aspiration?lang=gb"},{"id":26997,"title":"Neonatal pneumothorax","link":"/articles/neonatal-pneumothorax?lang=gb"},{"id":1467,"title":"Respiratory distress syndrome","link":"/articles/respiratory-distress-syndrome?lang=gb"},{"id":28613,"title":"Neonatal pneumonia","link":"/articles/neonatal-pneumonia?lang=gb"}],"alsoUsedIn":[{"id":233,"kind":"RestrictedPage","title":"Page 233 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/233"},{"id":241,"kind":"Course","title":"Radiology Review Course - Melbourne - page 241","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/241"},{"id":241,"kind":"Course","title":"Radiology Review Course - Melbourne - page 241","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2018/pages/241"},{"id":241,"kind":"Course","title":"Radiology Review Course - Melbourne - page 241","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/241"},{"id":241,"kind":"Course","title":"Radiology Review Course - page 241","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/241"}],"stem":"\u003cp\u003eIn this neonate, intubated with an oxygen requirement, what is the most likely diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1108"}],"attemptsPercentages":[{"alternativeId":"5540","percentage":6},{"alternativeId":"5539","percentage":78},{"alternativeId":"5537","percentage":1},{"alternativeId":"5535","percentage":6},{"alternativeId":"5538","percentage":7},{"alternativeId":"5536","percentage":2}],"promptToLogin":false,"questionManager":false,"articleId":"pulmonary-interstitial-emphysema"}