By Arnold J. Rudolph M.D., Arnold J. Rudolph MD
This is often a part of a wonderful 5-volume set representing the lifestyles paintings of the main meticulous photographic archivist in neonatology. Over the process forty years, Dr. Rudolph accrued images of just about each disorder, affliction, and situation affecting the baby. jointly they act as a uniquely strong diagnostic instrument.
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Additional resources for Atlas of the Newborn: Thorax, Abdomen, Blood, Endocrine, and Metabolic Disorders
Fluid levels may occasionally be seen in pneumatoceles. Residual fluid levels presumably represent persistent infection. Pneumatoceles must be differentiated from cystic emphysema which has developed as a sequel to interstitial emphysema or bronchopulmonary dysplasia. The cysts in these conditions are diffuse and bilateral. Serial films demonstrate evidence of prolonged respirator therapy with interstitial emphysema which then progresses to emphysematous bullae. 121. A radiograph of the chest of an infant with congenital syphilis demonstrates the typical interstitial pneumonia (pneumonia alba) and the osseous changes of growth arrest lines at the proximal ends of the humeri and periostitis of the clavicles (Higouménakis’ sign).
131 2 hours later showing the pulmonary interstitial emphysema on the left side and a large pneumothorax on the right side with collapse of the lung and the continued presence of the pneumomediastinum and pneumoperitoneum. 133. This radiograph of the chest shows massive bilateral pneumothoraces after resuscitative efforts. Note that these are both severe tension pneumothoraces in that both lungs have collapsed and both sides of the diaphragm are concave. In general, if the pneumothorax is not severe, there will be no concavity of the diaphragm.
This resulted in rapid relief of the respiratory distress. Congenital chylothorax results from the leakage of chyle into the pleural space and is presumably caused by congenital defects in the thoracic duct or by trauma. The other lymphatic vessels are usually normal. 85. 84 at the age of eight hours, following thoracentesis at the age of 4 hours. Note marked improvement, although some fluid is still present. 86. 85 later required a second thoracentesis at the age of 48 hours. In this chest radiograph following aspiration of the chylothorax, a subcutaneous collection of air and a small residual pneumothorax persisted.