Article| September 01 2012 Index of Suspicion in the Nursery Author DisclosureDrs Abdelhamid, Castillo, Kumar, Joseph, and Rastogi have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device Neoreviews (2012) 13 (9): e551–e555. https://doi.org/10.1542/neo.13-9-e551 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Twitter LinkedIn Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Index of Suspicion in the Nursery. Neoreviews September 2012; 13 (9): e551–e555. https://doi.org/10.1542/neo.13-9-e551 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search nav search search input Search input auto suggest search filter All PublicationsAll JournalsNeoReviewsPediatricsHospital PediatricsPediatrics In ReviewAAP Grand RoundsAAP NewsAll AAP Sites Search Advanced Search Subjects: Hematology/Oncology Topics: chest x-ray, esophageal atresia, heart, nurseries, pericardial effusion, vacterl association with hydrocephalus, down syndrome, hypothyroidism, myeloproliferative syndrome, transient, newborn A boy was born by spontaneous vaginal delivery at 36 weeks’ gestation weighing 2,770 g, with a head circumference of 31.8 cm, to nonconsanguineous white parents. Mother is a 31-year-old primigravida, rubella-immune, with negative serology for hepatitis B and C and HIV, and was treated with sertraline for depression. Antenatal scans, including fetal echocardiography, showed no abnormality. The infant was born in good general condition needing no resuscitation. Apgar scores were 7 at 1 minute and 10 at 5 minutes with normal cord blood gases. However, the placenta was noted to be edematous. A few minutes later, he started to show signs of respiratory distress and significant pallor. Initial examination revealed a temperature of 36.1°C, muffled heart sounds, heart rate of 115 beats per minute, capillary refill time of 3 to 4 seconds, nonrecordable blood pressure, equally weak femoral pulses bilaterally, respiratory rate of 76 breaths per minute, clear chest,... You do not currently have access to this content.