Limits...
Hyaline Membrane Disease

Afiesimama BOA - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hyaline Membrane Disease

History: Patient is a 1123 g Caucasian infant male born at 29+0 weeks gestation via low transverse c-section due to maternal pre-eclampsia and abnormal non-reassuring fetal heart tracings. Upon delivery the patient was noted to have respiratory distress with grunting and retractions. He was intubated, given one dose of survanta, and started on a rule-out sepsis protocol with CBC, blood cultures, and started on ampicillin and gentamycin. The patient's chest x-ray showed ground glass opacity consistent with hyaline membrane disease. The patient did not improve with surfactant. He was then placed on a high frequency oscillator ventilator with slight improvement. The patient was then given another dose of surfactant and kept on the oscillator. Over the next several hours the patient's lung opacity markedly improved.

Findings: Radiographically, the lungs have a characteristic pattern consisting of fine reticular granularity of the parenchyma and air bronchograms that are often more prominent early in the left lower lobe because of superimposition of the cardiac shadow. Occasionally, the initial CXR is normal and develops into the typical pattern by 6-12 hours of life. There can be considerable ion among films due to phase of respiration and use of CPAP. This case illustrates how medical management with close radiographic follow up can drastically improve the HMD related morbidity and mortality.

No MeSH data available.


See case description
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX2095&req=5

MPX2095_synpic38992: See case description


Hyaline Membrane Disease

Afiesimama BOA - MedPix (2007)

See case description
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2095&req=5

MPX2095_synpic38992: See case description

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hyaline Membrane Disease

History: Patient is a 1123 g Caucasian infant male born at 29+0 weeks gestation via low transverse c-section due to maternal pre-eclampsia and abnormal non-reassuring fetal heart tracings. Upon delivery the patient was noted to have respiratory distress with grunting and retractions. He was intubated, given one dose of survanta, and started on a rule-out sepsis protocol with CBC, blood cultures, and started on ampicillin and gentamycin. The patient's chest x-ray showed ground glass opacity consistent with hyaline membrane disease. The patient did not improve with surfactant. He was then placed on a high frequency oscillator ventilator with slight improvement. The patient was then given another dose of surfactant and kept on the oscillator. Over the next several hours the patient's lung opacity markedly improved.

Findings: Radiographically, the lungs have a characteristic pattern consisting of fine reticular granularity of the parenchyma and air bronchograms that are often more prominent early in the left lower lobe because of superimposition of the cardiac shadow. Occasionally, the initial CXR is normal and develops into the typical pattern by 6-12 hours of life. There can be considerable ion among films due to phase of respiration and use of CPAP. This case illustrates how medical management with close radiographic follow up can drastically improve the HMD related morbidity and mortality.

No MeSH data available.