Diaphragmatic hernia physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with CDH usually appears [[cyanotic]] and in acute distress. Physical examination of patients with CDH is usually remarkable for scaphoid abdomen, barrel shaped chest, and peristaltic sounds in the chest. | |||
==== | ==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}} | ||
Latest revision as of 17:22, 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
Patients with CDH usually appears cyanotic and in acute distress. Physical examination of patients with CDH is usually remarkable for scaphoid abdomen, barrel shaped chest, and peristaltic sounds in the chest.
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.