You are currently on an inpatient hospitalist team in a loca…

You are currently on an inpatient hospitalist team in a local pediatric hospital. First thing this morning, your team is called in to evaluate an infant born at 27 weeks gestation 50 minutes ago. Upon initial inspection of the newborn, you observe rapid labored grunting respirations, flaring nostrils, and intercostal retractions. Auscultation reveals diminished air movement, and a chest radiograph (CXR) reveals a ground-glass appearance in the lung fields bilaterally. What pharmacological agent should be initiated to help alleviate these signs and symptoms?

Pt. presents with complaint of increasing dyspnea over past…

Pt. presents with complaint of increasing dyspnea over past several days.  On examination, there is dullness on percussion over posterior left lower lung field, with decreased/absent breath sounds over the area.  At upper border of dullness on the left, bronchial breath sounds are noted. Match the clinical case with the appropriate CXR based on clinical findings: