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Related Concept Videos

Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
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Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Related Experiment Video

Updated: May 30, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

Meconium aspiration syndrome: do we know?

Murat Yurdakök1

  • 1Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

The Turkish Journal of Pediatrics
|August 23, 2011
PubMed
Summary

Meconium-stained amniotic fluid (MSAF) can lead to meconium aspiration syndrome (MAS) in newborns, causing significant pulmonary and neurodevelopmental issues. Understanding the complex pathophysiology of MAS is crucial for improving infant outcomes.

Area of Science:

  • Neonatalogy
  • Perinatology
  • Pediatric Pulmonology

Background:

  • Meconium-stained amniotic fluid (MSAF) is common in term/post-term pregnancies.
  • Meconium aspiration syndrome (MAS) is a serious complication, affecting at least 5% of infants exposed to MSAF.
  • MAS poses a significant threat with a notable case fatality rate and potential for long-term sequelae.

Purpose of the Study:

  • To review the current understanding of meconium passage into amniotic fluid.
  • To explore the complex pathophysiology of meconium aspiration syndrome (MAS).
  • To discuss current management strategies and identify areas lacking sufficient evidence.

Main Methods:

  • Literature review of theories on meconium passage.
  • Analysis of the multifactorial pathophysiology of MAS.

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07:36

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Published on: November 20, 2015

  • Evaluation of current interventions and their evidence base.
  • Main Results:

    • Multiple theories exist for in utero meconium release, including GI maturation, fetal stress, and impaired clearance.
    • MAS pathophysiology involves mechanical obstruction, surfactant inactivation, inflammation, and apoptosis.
    • Current management recommendations include selective endotracheal suctioning for non-vigorous infants and surfactant administration; other interventions lack robust evidence.

    Conclusions:

    • The exact mechanisms of meconium passage and MAS pathophysiology require further investigation.
    • Evidence for routine interventions like steroid therapy or prophylactic antibiotics in MAS is insufficient.
    • Long-term outcomes for MAS survivors, including asthma and hyperreactivity, warrant continued study.