<prompt> A newborn has dribbling after feeds. He has respiratory distress and froths at the mouth. Diagnosis is -Tracheoesophageal fistulaTetralogy of fallotRespiratory distress syndromeNone of the above  <response>: Ans. is a i.e., Tracheoesophageal fistula Tracheoesophageal fistula and esophageal atresia o Esophageal atresia is the most common congenital anamoly of the esophagus. o More than 90 are associated with tracheoesophageal fistula. The most common variety is the one where upper pa of esophagus ends blindly and the lower pa is connected to trachea by a fistula. TEF should be suspected in all cases of hydroamnion. o There may be associated anomalies -- VACTERL veebral, anorectal, cardiac, tracheal, esophageal, renal, radial, limb syndrome. Presentations Frothing and bubbling at the mouth and nose. o Coughing, cyanosis and respiratory distress. o Feeding exacerbates these symptoms, cause regurgitation, and may precipitate aspiration. o Aspiration of gastric contents distal fistula can cause aspiration pneumonitis. 