A term 3700 g boy was delivered vaginally without complications. He breast-feeds well, voids, and passes meconium in the first 12 hours of life. At 15 hours of life, he is no longer interested in feeding and appears dusky. Examination His respiratory rate is 65 breaths/min, his oxygen saturation on pulse oximetry is 80%, and his capillary refill is 3 seconds. No heart murmur is audible, but a loud single second heart sound is noted.
What is the most likely diagnosis and what is the best possible management? (Answer is posted in the comment section below!) *This case is from the Editorial team of Docplexus and is meant for educative purpose only. ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its accuracy, we make no warranties, explicit or implied, about the suitability, reliability, or adequacy of the information,…
