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Neonatal Care Protocol for Hospital Physicians ninety one Chapter 10: Physical Assessment of the Newborn Table (10-5): Neonatal respiratory assessment parameters Parameter Comments Skin colour Pink, cyanotic, pale, dusky, mottled or jaundiced Breathing Unlabored or labored, grunting, nasal flaring or retractions Chest wall Deformity, symmetrical or asymmetrical motion Breath sounds Distant, shallow, stridor, wheezing, or diminished, equal or unequal Apnea/ Lowest noticed heart price, color, oximeter studying and length of bradycardia/ episode desaturation fi Amount: scant, average or massive Secretion fi Color: white, yellow, clear, green or blood-tinged fi Consistency: thick, skinny or mucoid Endotracheal Length at the degree of pores and skin tube Cardiovascular evaluation fi An evaluation should be carried out every shift or with any change in medical condition. 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Note the pancreatic head tumor the peripheral portion of the tumor with tumor cell infltra- (arrows) shows central hypoenhancement with peripheral tions (arrows) reveals hyperintensity because of restricted diffu- enhancement and likewise encases the superior mesenteric sion.