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A pregnant female with a strong family history of Diabetes Mellitus and Hypertension develops high BP during the second trimester of her pregnancy. She is put on Anti-hypertensives for it and frequent follow ups are done. At 34 weeks of gestation her BP shoots up and she is hospitalised for further management. Anticipating early intervention in the form of Caesarean, the Obstetrician prescribes steroid injections for Lung maturity so that the preterm infant does not develop Acute Respiratory Distress Syndrome (ARDS). However, following the steroid injection, the urine sugar, which was Traces previously, becomes ++++ (a) Why will the Preterm infant develop ARDS? (b) Which investigation will help in the Antenatal diagnosis of ARDS? (c) Explain the structure and function of Phospholipids involved in this condition and comment on their Ratio. (d) What is the Biochemical basis behind appearance of ++++ sugar in urine?

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Generate a visual diagram of phospholipid ratios in fetal lungs

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