Neonatal respiratory distress is a very common problem in our practice. The causes may be respiratory, cardiovascular, central, metabolic, haematological and surgical. The cause of distress due to transient myocardial depression is not very common in mild asphyxia. We present a case having transient myocardial depression with severe respiratory distress and features of shock in a mild asphyxiated baby.
Electrocardiography , Myocardial Ischemia/complications , Respiratory Distress Syndrome, Newborn/diagnosis , Diagnosis, Differential , Echocardiography , Humans , Infant, Newborn , Male , Myocardial Ischemia/diagnosis , Radiography, Thoracic , Respiratory Distress Syndrome, Newborn/etiology
We report a 12-year-old girl presenting with acute disseminated encephalomyelitis (ADEM) along with hypertensive emergency. Hypertension persisted for few weeks following recovery and subsided with oral clonidine. Although autonomic instability in ADEM has been reported before, hypertensive emergency was not previously documented as presenting feature of ADEM.
Encephalomyelitis, Acute Disseminated/diagnosis , Hypertensive Encephalopathy/drug therapy , Antihypertensive Agents/therapeutic use , Child , Clonidine/therapeutic use , Diagnosis, Differential , Encephalomyelitis, Acute Disseminated/cerebrospinal fluid , Encephalomyelitis, Acute Disseminated/physiopathology , Female , Humans , Hypertensive Encephalopathy/diagnosis , Prednisolone/administration & dosage , Prednisolone/analogs & derivatives , Severity of Illness Index , Treatment Outcome
Internal jugular phlebectasia presents as a soft cystic mass in the neck that appears on straining. We present a case of a 7-year-old girl who presented with a painless soft cystic mass in the neck associated with hoarseness of voice. Based on clinical examination and CT image, diagnosis of right internal jugular phlebectasia was made.
