Mother delivered at 32 WOA,the neonate presented with RR of 135 BPM,cyanosis,Spo2 of 65% and grunting.list the likely diagnosis, outline 4 differential diagnoses,list 4 complications, manage patient?

Likely diagnosis: Respiratory distress syndrome (RDS)

Differential diagnoses:
1. Pneumonia
2. Meconium aspiration syndrome
3. Transient tachypnea of the newborn
4. Congenital heart disease

Complications:
1. Bronchopulmonary dysplasia
2. Intraventricular hemorrhage
3. Patent ductus arteriosus
4. Retinopathy of prematurity

Management:
1. Provide respiratory support with oxygen therapy and possibly mechanical ventilation
2. Administer surfactant therapy to improve lung function
3. Monitor vital signs closely, including oxygen saturation and respiratory rate
4. Provide supportive care, including maintaining appropriate temperature and nutrition, and monitoring for complications such as infections.

Likely Diagnosis:

- Respiratory Distress Syndrome (RDS)

Differential Diagnoses:

- Transient tachypnea of the newborn (TTN)
- Meconium aspiration syndrome (MAS)
- Pneumonia
- Congenital heart defect (e.g., patent ductus arteriosus)

Complications:

- Bronchopulmonary dysplasia (BPD)
- Pulmonary hypertension
- Retinopathy of prematurity (ROP)
- Cerebral palsy

Management:

1. Respiratory Support:

- Nasal continuous positive airway pressure (CPAP) or mechanical ventilation
- Oxygen therapy as needed (target SpO2 of 88-95%)

2. Pharmacotherapy:

- Surfactant replacement therapy to improve lung function
- Diuretics to reduce fluid overload
- Antibiotics if there is suspected infection

3. Monitor and Support:

- Close monitoring of vital signs and oxygen saturation
- Temperature regulation
- Nutritional support
- Provide emotional support to the family

4. Other Interventions:

- Chest X-ray to confirm diagnosis and assess severity
- Echocardiogram to rule out congenital heart defects
- Blood gas analysis to monitor oxygenation and ventilation
- Follow-up visits to monitor progress and screen for complications