<prompt> A new born with respiratory distress with RR 86min, nasal flaring, audible grunting, abdomen lagged behind chest respiratory movement, no lower chest or xiphoid retraction. What is silverman;s score1356  <response>: Silverman Anderson Score SAS are widely used for the categorization of respiratory distress in neonates. It consists of five items: 1 chest retraction as compared with abdominal retraction during inhalation; 2 retraction of the lower intercostal muscles; 3 xiphoid retraction; 4 flaring of the nares with inhalation; and 5 grunting on exhalation. Chest movement- synchronized0 vs. minimal lag1 or sinking of the upper chest as the abdomen rises. In the most extreme instances, a seesaw-like movement of the chest and abdomen is observed and would be given a score of 2. Intercostal retractions- retraction between the ribs is rated as none0, minimal1or marked2. Xiphoid retractions- retraction below the xiphoid process are rated as none0, minimal1 or marked2. Nasal flaring- no nasal flaring: 0. Minimal flaring is scored 1 and marked flaring is scored 2. Expiratory grunting- no grunting: 0, grunting that is audible with a stethoscope is scored 1, and grunting that is audible without using a stethoscope is scored 2. Adequate ventilation is indicated by a 0, severe respiratory distress is indicated by a score of 10. Reference: GHAI Essential pediatrics, 8th edition 