During a newborn's first feeding attempt, choking, coughing and cyanosis occur. Historically, the mother had polyhydramnios during the pregnancy. Which diagnosis is most likely the explanation for the newborn's distress?
- choanal atresia
- respiratory distress syndrome
- polycystic kidney disease
- congenital heart disease
- tracheoesophageal fistula
This is the classic presentation of tracheoesophageal fistula - when the patient drinks he aspirates because there is a connection between the trachea and the esophagus.