Case 15

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A two-month-old, previously healthy infant that was born at term presents to the ED with increasing respiratory distress. There are decreased breath sounds bilaterally and the infant is drooling and gagging on secretions. The chest radiographs are shown below.

chest x-ray image right side
chest x-ray image left side

Accessible Version

Frontal and lateral chest radiographs of an infant with large bilateral evidence of air in the pleural spaces.

After stabilization of the patient, an appropriate next step in the evaluation includes which of the following:

A. Evaluate for cystic fibrosis.

B. Evaluate for upper airway injury.

C. Evaluate for congenital diaphragmatic hernia.

D. Review the birth history for meconium aspiration.