Atlas of the Newborn by Arnold J. Rudolph

By Arnold J. Rudolph

This expansive 5-volume set represents the life's paintings of the main meticulous photographic archivist in neonatology. Over the process 40 years, Dr. Rudolph accrued pictures of just about each affliction, affliction, and situation affecting the infant. the result's a whole visible textbook of neonatology as considered during the eyes of a grasp clinican.

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In this infant there was dextrocardia, pulmonary artery hypoplasia, and anomalous systemic arterial supply to the right lower lobe with anomalous venous drainage. 70. This infant with a scaphoid abdomen and barrelling of the chest had a diaphragmatic hernia. In any infant with a scaphoid abdomen, two surgical emergencies should be excluded – congenital diaphragmatic hernia, and esophageal atresia with a blind pouch and no communication with the gastrointestinal tract. Normally, the passage of air into the gastrointestinal tract after birth distends the scaphoid abdomen.

Paralysis of the diaphragm occurs on the right side versus the left side at a ratio of 4:1. 82. A large right pleural effusion obscures most lung markings. Air is appreciated centrally as the infant is supine and the entire hemithorax is not filled with fluid. Note that the cardiac shadow is displaced to the left. The etiology was unknown. Pleural effusions occur with chylothorax, hydrops fetalis, congestive heart failure, transient tachypnea of the newborn, complications of central total parenteral nutrition, and intrauterine viral infections.

141. 140 shows air in the anterior mediastinum behind the sternum with elevation of the thymus. Note the well-outlined thymus gland and the subcutaneous air in the neck. 142. In this pathologic specimen note the multiple blebs dissecting through the soft tissue planes of the mediastinum as a result of a pneumomediastinum. 143. A rare complication associated with a pneumomediastinum is a subpleural collection of air. The air tracks between the parietal pleura and the diaphragm as seen in the anteroposterior and lateral radiographs of this infant.

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