Infant Journal
Browse articlesA floppy baby with elevated right hemidiaphragm and large stomach bubble on chest radiograph: what’s the diagnosis?
A preterm neonate of 36 weeks’ gestation was born via emergency lower segment caesarean section, requiring respiratory support soon after birth. She was hypotonic from birth and was found to have a large gastric bubble and a raised right hemidiaphragm on X-ray. She reached full feeds through a nasogastric tube on day 3 of life but later developed severe gastro-oesophageal reflux with pulmonary aspiration. What is the likely diagnosis?
Fatimah AliyuST6 Paediatric Trainee, York Teaching Hospital, NHS Foundation Trust, f.aliyu@nhs.net
Udoka Asoh
ST7 Paediatric Trainee, Neonatal Unit, Hull University Teaching Hospitals NHS Trust, u.asoh@nhs.net
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Keywords
assessment; cognitive development; language development; parent report; neurodevelopmental outcomes
Key points
- The PARCA-R can be used to assess neurodevelopmental outcomes at 23.5 to 27.5 months of age.
- The questionnaire takes parents less than 15 minutes to complete.
- It produces separate norm-referenced scores for non-verbal cognition and language development.
- It can be used to identify developmental delay for all children in the general population.
- The PARCA-R is free to use and all available resources can be accessed online at www.parca-r.info.
