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Tracheoesophageal fistula



Respiratory system


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

Tracheoesophageal fistula


0 / 8 complete


1 / 1 complete
High Yield Notes
8 pages

Tracheoesophageal fistula

8 flashcards

USMLE® Step 1 style questions USMLE

1 questions

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? 

Memory Anchors and Partner Content
External References
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.