Welcome to the American Family Physician Podcast for the December 1st, 2015 issue.

I'm Steve.

I'm Jake.

I'm Megan.

And I'm Luke.

We are residents and faculty, mostly residents of the University of Arizona College of Medicine, Phoenix, Family Medicine Residency.

This week, we're going to talk about chewing gum,

leukocytosis, newborn respiratory distress, and make sure you stay to the end where we advise you

what not to wear. The opinions expressed in the podcast are our own and do not represent the

opinions of the American Academy of Family Physicians, the Editor of American Family Physician, or Banner Health. Do not use this podcast for medical advice. Instead, see your own family doctor for medical care. on a mission delivering the best from American family physician.

Our first feature article is newborn respiratory distress by doctors Hermanson and Mahajan

from Lancaster General Hospital. Those of you taking care of newborns know respiratory

issues are a common reason

you'll get a call from a nurse. Luke, what were your take-home points from this article?

Well, first, your exam and your workup are going to be based on the differential. The most

common causes of respiratory distress are transit to kipnea of the newborn, respiratory distress syndrome, maconium aspiration

syndrome, pneumonia, sepsis, pneumothorax, and delayed transition. Yeah, and Table 1 also lays

out the less common causes like coanolatresia, diaphragmatic hernia, T.E. Fistula,

congenital heart disease, and some neurological, metabolic, and hematologic disorders.

Yeah, and the workup is based on not wanting to miss the common serious conditions like sepsis.

Labs can assist in the diagnosis like a CBC that shows an immature to total neutral neutral

ratio or an IDT ratio of less than 0.2 is reassuring.

...