6 hour old newborn in respiratory distress tachypnea; 96% on room air birth weight in < 3rd % plethoric infant, normocephalic, normal cardiac exam, normal breath sounds normal CXR normal female genitalia Hct 71% (42-65) Plt 200,000 (150-300,000) Leuk 20,500 (9,400-24,000) Glucose 35 (>50) - CAH - CHD - dehydration - glycogen storage disease - polycythemia - transient tachypnea of newborn

Potential diagnoses include polycythemia and transient tachypnea of the newborn. The high hematocrit levels and plethoric presentation suggest polycythemia, while the baby's tachypnea and respiratory distress could indicate transient tachypnea of the newborn. The infant's low glucose levels require further investigation.

Explanation:

Polycythemia and transient tachypnea of the newborn are potential diagnoses given the newborn's symptoms. These conditions are suggested by the baby's high hematocrit, tachypnea, and plethoric presentation, also considering the normocephalic state, normal cardiac exam, and normal breath sounds.

Polycythemia, an abnormal increase in red blood cells, could account for the baby's high hematocritic levels and plethoric appearance. Transient tachypnea of the newborn, a condition causing fast, labored breathing in newborns, could explain the baby's respiratory distress. Both conditions might be managed with careful monitoring and appropriate medical interventions. However, it's crucial to investigate further to rule out other potential conditions like congenital adrenal hyperplasia or other causes of the infant's low glucose levels.

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