Repeated Medical PG Question- 54

PAEDIATRICS (INI-CET)

A 32 week new born baby with RR-86/min, grunting present with no nasal flaring, abdomen behind in movement than chest, minimum interocostals retraction & no xiphisternal retraction. What is the Silverman scoring?

A. 1

B. 4

C. 3

D. 6

Answer is B. 4

Silverman- Anderson Score is used to assess the degree of respiratory distress in the newborn (usually with Respiratory Distress Syndrome).

▪️The index involves observation of five features, each of which is scored as 0, 1, or 2.

▪️The higher the score, the greater the respiratory distress.

▪️ A score of over 7 suggests severe respiratory distress.

Interpretation in given question:

▪️Upper chest

 Lag on inspiration present —> Score 1

•   Lower chest

Slight retraction present—> Score 1

•   Xiphoid retraction

 Not present ---> Score 0

•   Nares flaring

 Not present—> Score 0

•   Grunting

Audible grunting—> Score 2

 ▪️Total = Score 4

- The Downes' score is more comprehensive and can be applied to  any gestational age and condition