Hello, may I ask what can be the problems or foci in this PDAR from this case? CASE # 2: RESPIRATORY DISTRESS IN THE NEWBORN Setting: Hospital Chief Complaint: “My baby is not breathing well” Vital...

CASE # 2: RESPIRATORY DISTRESS IN THE NEWBORN

Setting:
Hospital

Chief Complaint:
“My baby is not breathing well”

Vital Signs:
HR: 145bpm; RR: 45bpm

History Present Illness:
The patient was born via cesarean section 1 hour ago to a G1P0 mother with no gestational complications at 39 weeks. The mother has routine prenatal care and no medical problems during her pregnancy. The mother states that the patient appears not to be breathing well.

Physical Examination:

• General: Awake and alert


• Head: No hematoma, No Concussion


• Chest: Ribs can be seen between breaths, (+) Intercostal retractions


• CVS: S1S2 (+) tachycardia, no murmurs/rubs/gallops


• Lungs: (+) Crackles bilateral


• Abdomen: Soft, non-tender, non-distended, (+) bowel sounds


• Extremities: no cyanosis noted