Approach to poor feeding (newborn and infant) Quiz: Ace Your Exams
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A 3-day-old newborn boy is evaluated in the hospital for poor feeding. The parents reports that the infant has had trouble swallowing during feeds and occasional episodes of “shortness of breath” with a high-pitched inspiratory sound. The infant was born at 36 weeks’ gestation via vaginal delivery without complications. The prenatal course was otherwise unremarkable. Temperature is 36.7°C (98.1°F), heart rate is 150/min, blood pressure is 85/40 mmHg, respiratory rate is 40/min, and oxygen saturation is 99% on room air. Physical examination reveals normal tone and reflexes with intermittent stridor. Gene sequencing confirms a diagnosis of Pierre Robin sequence. Which of the following additional findings is most likely to be present in this patient?
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