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Radiology Quiz Case 1
Joseph L. Smith II, MD;
Roberto Eloy Garcia, MD
Upstate Medical University, Syracuse, NY
Arch Otolaryngol Head Neck Surg. 2004;130:1236.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A girl was delivered by cesarean section to a gravida 2, otherwise healthy woman after 39 weeks of gestation. The pregnancy was complicated by tobacco and cannabis use during the first trimester. The Apgar scores were 6 and 8 at 1 and 5 minutes, respectively. The neonate became cyanotic and a 3.5 endotracheal tube was placed on day 1 of life. She was then transferred to our neonatal intensive care unit, where she did well and underwent extubation that same day. She subsequently developed respiratory distress and underwent reintubation with a 3.0 endotracheal tube. During the extubation period, biphasic stridor with substernal retractions occurred. On day 4 of life, the patient was evaluated by pediatric otolaryngology as she had become hypoxic and hypercarbic. Physical examination revealed an intubated, normally developed girl with bilateral coarse breath sounds. The findings of flexible nasopharyngolaryngoscopy . . . [Full Text of this Article]
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