By Arnold J. Rudolph
This expansive 5-volume set represents the life's paintings of the main meticulous photographic archivist in neonatology. Over the process 40 years, Dr. Rudolph amassed photos of almost each illness, disease, and affecting the child. the result's an entire visible textbook of neonatology as seen during the eyes of a grasp clinican.
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Many of these infants may be asymptomatic. Pulmonary cysts are large, thin-walled cysts. They are rare, are more commonly noted in the lung periphery, and probably represent a disorder of bronchial growth at a later stage in fetal life than do the more central bronchogenic cysts. 66. In infants with congenital cystic adenomatoid malformation of the lung, there may be no or minimal respiratory distress at birth. The respiratory distress becomes progressively worse with gaseous overdistention of the lung and mediastinal shift.
The incidence of this defect is 1:4000 live births and it constitutes a neonatal emergency if there is severe respiratory distress in the first hour of life. The infant swallows air which inflates the stomach and small bowel, causing collapse of the lung and displacement of the mediastinum. In severe cases, the stomach, small bowel, and left lobe of the liver may lie in the hemithorax during fetal life, resulting in hypoplasia of the lungs. 72. Anteroposterior and lateral radiographs of an infant with a diaphragmatic hernia who presented with severe respiratory distress at birth.
84. This infant presented with severe respiratory distress at birth. A chest radiograph showed marked opacification of the right hemithorax with displacement of the trachea and cardiac shadow to the left. All lung markings were obscured. The appearance was that of a massive pleural effusion, and the diagnosis of congenital chylothorax was made by thoracentesis performed on the right chest with removal of about 300 ml of straw-colored fluid. This resulted in rapid relief of the respiratory distress.