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A 9-day-old child is brought to your emergency department with complaints of poor feeding and recurrent sudden changes in colour during feeds. He was a home birth and this is his first medical contact.

An X-ray is taken as part of your initial assessment.

Neonatal Cyanotic Episodes

1. List (2) abnormal findings on this chest X-ray. 2 marks

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2. List (3) components of this pathological condition which characterise it. 3 marks

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3. List (2) triggers, other than feeding, which may precipitate these colour changes in this child. 2 marks

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4. State (5) treatment actions you would initiate. 5 marks

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