By Arnold J. Rudolph M.D., Arnold J. Rudolph MD
This can be a part of a remarkable 5-volume set representing the existence paintings of the main meticulous photographic archivist in neonatology. Over the process forty years, Dr. Rudolph gathered photos of just about each sickness, disease, and affecting the baby. jointly they act as a uniquely strong diagnostic device.
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Extra info for Atlas of the Newborn: Thorax, Abdomen, Blood, Endocrine, and Metabolic Disorders
Note the normal right lung architecture with three lobes, but only the lower bronchus on the left side. There is an anomalous atretic bronchus with fluid in the lung distal to this. 51. Radiograph of the chest shows a bronchogenic cyst on the right side. Such cysts are collections of bronchial epithelial tissue that assume a round, regular appearance. Communication with the large airways can result in spontaneous, intermittent drainage of purulent contents. Congenital bronchogenic cysts arise from abnormal budding of the primitive trachea or abnormal branching of the tracheobronchial tree.
90. These twin premature infants with severe hyaline membrane disease developed respiratory distress soon after birth. Note the glistening, gelatinous appearance of the skin due to edema; severe nasal flaring; and intercostal, subcostal, and xyphoid retractions because of the pliability of the chest wall. This reflects the stiffness of the lungs and worsens over the first two to three days. Clinically, the infants have tachypnea with a “see-saw” pattern of breathing and an expiratory grunt. 91.
Radiograph of another infant with congenital cystic adenomatoid malformation of the lung on the left side. This infant developed increasingly severe respiratory distress within 18 hours of birth as a result of progressive air trapping and hyperinflation. In these infants, surgical removal of the malformation is essential. Congenital cystic adenomatoid malformation may present initially as an intrapulmonary mass which appears solid or has a few scattered translucent areas, but this progresses to give the typical appearance of congenital cystic adenomatoid malformation.