Rejected
at 6:43 p.m. Jan, 24, 2024 ]
by
herstein.jacob
Author:
shmuelsash
Type of change:
Updated content
Rationale for change
the explanation in this qs seems to indicate that grunting is unique to NRDS
Source: UWorld - Step 2 2473
Rejection reason
UW and AMBOSS both use the term grunting for TTN
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Diagnosis | Transient tachypnea of the newborn (TTN) | Respiratory distress syndrome | Persistent pulmonary hypertension |
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Pathophysiology | Alveolar fluid not cleared properly at birth | Alveolar collapse and atelectasis due to lack of surfactant | Right to left shunting due to high pulmonary vascular resistance resulting in hypoxia |
Clinical features | Tachypnea resolves by day 2 | Respiratory distress (premature birth) | Tachypnea and cyanosis |
Chest x-ray | Perihilar linear streaking bilaterally | Ground glass (reticulogranular), air bronchograms, decreased lung volumes | Clear lung fields, decreased pulmonary vascularity |
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