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    Go to the top of the page   ID: 20021110223558 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS)
    M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021110223558


    ( There are questions in the CMK-Mode for this topic )

     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    M. Paetzel (Cleveland/USA)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    Newborn  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    Thorax-Lung  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    The images shown here were obtained from various premature infants of the 25th-29th gestational week. Postpartally, a respiratory deficiency was noted (moaning). Sometimes a retraction was seen. In the fourth case, cyanosis was noted initially.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    IRDS (idiopathic respiratory distress syndrome. Earlier: Hyaline-Membrane Syndrome) is based on underdeveloped pulmonary surfactant production. The deficiency of the mainly pospholipid surfactant leads to a collapse of the alveoles, which leads to atelectasic ventilation.

    Also, through the course of the disease, there is an excretion of underdeveloped proteins seen, which deposit themselves in a membrane-like manner (Therefore the old name "hyaline membranes"). This stage is through early treatment now rarely seen.  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Stage 1: slight reticular (slight granular) decrease in transparency of the lung, no certain difference to normal findings. (The matches are used to show size)




    X-Ray 2 <- view X-Ray 2

    X-Ray 2: Stage 2: Soft decrease in transparency with an aerobronchogram, which overlaps the heart (= always a sign of an alveolar lung reaction!)




    X-Ray 3 <- view X-Ray 3

    X-Ray 3: Stage 3: like stage 2, but with gradual stronger decrease in transparency, as well as a blurry diaphragm and heart.




    X-Ray 4 <- view X-Ray 4

    X-Ray 4: Stage 4: White lung: practically homogenic lung opacity.




    X-Ray 5 <- view X-Ray 5

    X-Ray 5: Synopsis of the changes in Stages I - IV.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Expert's opinion  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Alveolar respiratory deficiency, wet lung, infection, ARDS (also in newborns, i.e. after infection or blood transfusion), pleural effusion of both sides, pulmonary edema.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    N/A  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    IRDS, premature infant, surfactant deficiency, infantile respiratory distress syndrome, ARDS, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021110223558  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Thorax-Lung
    or in the region: Thorax
    or in the tissue/organ: Lung
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     
    Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS)
    M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021110223558


    ( There are questions in the CMK-Mode for this topic )

     

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    Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS)
    Other cases by these authors:

    Search M. Paetzel in Medline M. Paetzel (10)   

    Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS)  
     
    Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS)
    M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021110223558


    ( There are questions in the CMK-Mode for this topic )

     

    Which diagnosis have other collegues guessed?


    • Wet lung
      Votes: 0 (0 %)


    • Pulmonary edema
      Votes: 3 (23 %)


    • ARDS
      Votes: 5 (38 %)


    • Pleural effusion
      Votes: 1 (7 %)


    • IRDS
      Votes: 4 (30 %)


    • Bronchopulmonary dysplasia
      Votes: 0 (0 %)



        Total answers: 13

     
    Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS)
    M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021110223558


    ( There are questions in the CMK-Mode for this topic )

     

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    Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS)
    M Paetzel. Respiratory distress syndrome (grade 1-4) of the premature and newborn (IRDS). PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021110223558


    ( There are questions in the CMK-Mode for this topic )

     




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