Diaphragmatic hernia physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
==== | ==Physical Examination== | ||
===General appearance=== | |||
*A neonate with CDH usually appears [[cyanotic]] and in acute distress.<ref name="pmid23378478">{{cite journal |vauthors=Haroon J, Chamberlain RS |title=An evidence-based review of the current treatment of congenital diaphragmatic hernia |journal=Clin Pediatr (Phila) |volume=52 |issue=2 |pages=115–24 |year=2013 |pmid=23378478 |doi=10.1177/0009922812472249 |url=}}</ref> | |||
===Vital signs=== | |||
*Heart rate: [[tachycardia]] | |||
*Respiratory rate: [[tachypnea]] | |||
*Blood pressure: The infant may have [[hypotension]] due to compression of the ventricles | |||
===Lungs=== | |||
*The [[chest]] may have a barrel shape. | |||
*Absent [[breath sounds]] at the side of the hernia<ref name="pmid8176602">{{cite journal |vauthors=Lund DP, Mitchell J, Kharasch V, Quigley S, Kuehn M, Wilson JM |title=Congenital diaphragmatic hernia: the hidden morbidity |journal=J. Pediatr. Surg. |volume=29 |issue=2 |pages=258–62; discussion 262–4 |year=1994 |pmid=8176602 |doi= |url=}}</ref> | |||
*Peristaltic sounds in the chest | |||
===Heart=== | |||
*The [[heart sounds]] may be displaced to the other side of the chest. | |||
*The heart sounds may reveal the [[murmurs]] of associated cardiac anomalies. | |||
===Abdomen=== | |||
*The abdomen is [[scaphoid]] due to herniation of the abdominal content into the thoracic cavity. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 16:35, 22 December 2017
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Diaphragmatic hernia Main page |
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Diagnosis |
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Treatment |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Physical Examination
General appearance
Vital signs
- Heart rate: tachycardia
- Respiratory rate: tachypnea
- Blood pressure: The infant may have hypotension due to compression of the ventricles
Lungs
- The chest may have a barrel shape.
- Absent breath sounds at the side of the hernia[2]
- Peristaltic sounds in the chest
Heart
- The heart sounds may be displaced to the other side of the chest.
- The heart sounds may reveal the murmurs of associated cardiac anomalies.
Abdomen
- The abdomen is scaphoid due to herniation of the abdominal content into the thoracic cavity.
References
- ↑ Haroon J, Chamberlain RS (2013). "An evidence-based review of the current treatment of congenital diaphragmatic hernia". Clin Pediatr (Phila). 52 (2): 115–24. doi:10.1177/0009922812472249. PMID 23378478.
- ↑ Lund DP, Mitchell J, Kharasch V, Quigley S, Kuehn M, Wilson JM (1994). "Congenital diaphragmatic hernia: the hidden morbidity". J. Pediatr. Surg. 29 (2): 258–62, discussion 262–4. PMID 8176602.