MCQ

A male neonate with an antenatal diagnosis of Ebstein’s anomaly had respiratory distress with low oxygen saturation immediately after birth at 35 weeks of gestation. He was intubated and received infusions of alprostadil and dobutamine. On the third day of life, a clearly demarcated erythema developed on one side of the body as shown in the image. During this episode, the physical examination was otherwise unremarkable, with no changes in vital signs. What is the most likely diagnosis? A) Nascent hemangioma of infancy B) Hypercarbic flush C) Infant harlequin syndrome D) Reactive hyperemia of heart failure E) Klippel-Trénaunay syndrome

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CORRECT ANSWER IS.. C ) .. Infant harlequin syndrome
Tnx Dr Hiremath Mahalinga Shastry
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C)Infant harlequin syndrome
C) is right
SUGGESTIVE of C INFANT HARLEQUIN SYNDROME
INFANT HARLEQUIN SYNDROME (C)
Thanks Dr Vipin Bihari Jain
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B.Hypercarbic flush Infants are more likely to develop hypercapnia because of the age-related physiological changes in vital systems and a higher metabolic rate in relation to weight. The causes of hypercapnia include two aspects: the increase of CO2 generation and the decrease of CO2 discharge. Detailed factors include malignant hyperthermia, equipment and breathing circuit malfunction, patients’ preexisting pulmonary diseases, CO2 pneumoperitoneum, improper ventilatory settings and invalidity of CO2 absorber
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