Rapid Review: Transient Tachypnea of the Newborn

January 25, 2018
Reviewed By: Amy Rontal
Transient tachypnea of the newborn

Transient Tachypnea of the Newborn

  • Patient will be a child shortly after birth
  • Sudden onset of difficulty breathing
  • PE will show tachypnea, nasal flaring, retractions, and hypoxia
  • CXR will show parenchymal infiltrates and fluid in the pulmonary fissures
  • Most commonly caused by residual pulmonary fluid
  • Treatment is supportive, self-resolving within 72 hours
  • Comments: Most common cause of neonatal respiratory distress

Sample question:

full-term male infant is delivered by cesarean section because of dystocia due to macrosomiaApgar scores are 8 and 10. An hour after delivery he begins to have tachypnea without hypoxemia. A chest radiograph shows diffuse parenchymal infiltrates and fluid in the pulmonary fissures. The symptoms resolve without treatment within 24 hours. What is the most likely diagnosis?

By Yehuda Wolf, MPA, PA-C

Comments (0)