What is one of the "3 C's" associated with Esophageal Atresia and Tracheoesophageal Fistula?

• A. Cyanosis
• B. Fever
• C. Persistent cough
• D. Vomiting

Answer: (A)

Cyanosis is indeed one of the "3 C's" associated with Esophageal Atresia and Tracheoesophageal Fistula. This condition often results in significant respiratory distress due to aspiration or difficulty with feeding, which can lead to hypoxia. When a newborn presents with cyanosis, it indicates inadequate oxygenation of the blood, commonly seen when there is a communication between the trachea and esophagus, allowing for the inhalation of food or fluids.

In the context of Esophageal Atresia and Tracheoesophageal Fistula, cyanosis can occur during feeding attempts, particularly when the infant attempts to swallow and there is a failure to adequately manage secretions, leading to choking or respiratory compromise. Recognizing this sign is critical for early diagnosis and intervention, which can significantly affect the outcome for the infant.

The other symptoms associated with the condition, though important, do not specifically align with the "3 C's." Persistent cough may occur due to irritation from aspiration but is not classified under the defining symptoms. Fever typically indicates infection and is not a direct hallmark of these specific congenital anomalies. Vomiting, while common, does not have the same significance as cyanosis in the immediate assessment of Esophageal Atresia and