Atlas of the Newborn: Thorax, Abdomen, Blood, Endocrine, and by Arnold J. Rudolph M.D., Arnold J. Rudolph MD

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 accrued images of almost each sickness, affliction, and situation affecting the child. jointly they act as a uniquely robust diagnostic instrument.

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97. A detailed view of the left cardiophrenic angle in this radiograph demonstrates the reticulogranular pattern of the lung parenchyma in hyaline membrane disease. With progression of the disease, the reticulogranular pattern becomes more prominent, and coalescence of many of the small atelectatic areas occurs resulting in more opaque lung fields. 98. Lung volume in hyaline membrane disease is progressively lost, resulting in opacification as seen in this radiograph, and can be difficult to recruit again despite the use of vigorous positive pressure ventilation via an endotracheal tube.

Gastric aspiration relieved the distention as noted in the radiograph on the right. Infants with congenital diaphragmatic hernia often require vigorous resuscitation; thus it is important to place an orogastric tube during resuscitation if diaphragmatic hernia is suspected. 76. In this infant with Rh isoimmunization and a congenital diaphragmatic hernia, contrast was injected into the amniotic fluid of the fetus to permit swallowing of the contrast for confirmation of the position of the fetal bowel prior to intrauterine transfusion.

139. This radiograph shows bilateral pneumothoraces with accumulation of air on both the medial and lateral sides of the lung in an infant lying supine. Again, note that the lungs are not completely collapsed because of the severe degree of lung disease. 140. Air dissecting into the thorax and mediastinum may elevate the lobes of the thymus, resulting in the “butterfly wing” appearance of the lobes of the thymus gland. Clinically, pneumomediastinum is usually asymptomatic but findings may include a sternal bulge, restlessness or irritability, tachypnea, and distant heart sounds.

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