Infant Journal
for neonatal and paediatric healthcare professionals

A 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 Aliyu
ST6 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
neonates; teaching; education; postgraduate; training; multidisciplinary; quality improvement
Key points
  1. The RCPCH mandates that trainees are provided with ‘high-quality, relevant, varied teaching locally’.
  2. Trainees may be best placed to guide the development of teaching provision through contemporary feedback and local educational governance roles.
  3. Neonatal teaching may be better delivered in the multidisciplinary way in which neonatal care is provided.

Also published in Infant:

VOLUME 15/ISSUE 2, MARCH 2019
BadgerNet admission data entry: a quality improvement project
Completion of BadgerNet data is important for every neonatal unit yet often it is incomplete and the quality/accuracy of the data could be better. The aim of this quality improvement project was to monitor accuracy and compliance with National Neonatal Audit Programme (NNAP) data and to audit the accuracy of BadgerNet admission summaries. The project assesses outcomes in the local neonatal unit at Kettering General Hospital before and after the formal introduction of a set of improvement measures.

Read more...