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Tracheoesophageal fistula

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Respiratory system

Pathology

Upper respiratory tract disorders
Lower respiratory tract disorders
Pleura and pleural space disorders
Pulmonary vascular disorders
Apnea and hypoventilation
Respiratory system pathology review

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Tracheoesophageal fistula

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High Yield Notes
8 pages
Flashcards

Tracheoesophageal fistula

8 flashcards
Questions

USMLE® Step 1 style questions USMLE

1 questions
Preview

A 3-hour-old male neonate is observed to have profuse drooling and coughing in the nursery. The patient was born at 39-weeks gestational age to a 27-year-old, gravida 2 para 2, mother via vaginal delivery. The pregnancy was complicated by polyhydramnios. Cardiac exam reveals a harsh holosystolic murmur most prominent at the left lower sternal border. The nurse attempts to pass a nasogastric tube into the patient’s stomach but encounters resistance after advancing 12 cm. Which of the following physical exam findings will most likely also be present in this patient? 

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Summary
A tracheoesophageal fistula is an abnormal connection (fistula) between the esophagus and the trachea. Neonates with a tracheoesophageal fistula are unable to feed properly. Once diagnosed, prompt surgery is required to allow the food intake. Tracheoesophageal fistula is suggested in a newborn by copious salivation associated with choking, coughing, vomiting, and cyanosis coincident with the onset of feeding.