This educational guide provides a much-needed subspeciality-specific learning resource for pediatric hospital medicine. Featuring 50 of the most commonly presenting topics encountered by pediatric hospitalists, this book brings readers into the morning meeting and walks them through patient presentation, diagnosis, treatment, and resolution, providing realistic examples in an engaging case-based format. Available for purchase at https://shop.aap.org/pediatric-hospital-medicine-a-case-based-educational-guide-paperback/
Case 3: Baby Girl Smith, a Newborn with Respiratory Distress
"Baby Girl Smith, a Newborn with Respiratory Distress", Pediatric Hospital Medicine: A Case-Based Educational Guide, American Academy of Pediatrics, Melissa G. Cossey, MD, FAAP, Lauren K. Gambill, MD, MPA, FAAP
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You are covering the newborn nursery when you are called to assess Baby Girl Smith for respiratory distress. The nurse reports that the neonate was born approximately 10 minutes ago via precipitous vaginal delivery. She cried at birth and thus was immediately placed skin to skin on her mother’s abdomen. Umbilical cord clamping was delayed for 1 minute while the neonate was being suctioned and dried. She then appeared to have grunting during the nursing assessment and was immediately brought to the radiant warmer. The nurse reports that the newborn’s heart rate is above 100 beats/min with a respiratory rate of 70 breaths/min and an oxygen saturation of 81%. After finishing your call with the nurse, you quickly head to the delivery room.