Diaphragmatic paralysis echocardiography and ultrasound: Difference between revisions

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{{Diaphragmatic paralysis}}
{{Diaphragmatic paralysis}}


{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{MA}}


==Overview==
==Overview==


There are no echocardiography/ultrasound findings associated with [disease name].
Ultrasound may be helpful in the diagnosis of diaphragmatic paralysis. Findings on an ultrasound suggestive of diaphragmatic paralysis include abnormal paradoxical movement during [[inspiration]] and Less than 20% thickening of the [[diaphragm]].  


OR
==Ultrasound==
 
*[[Ultrasound]] may be helpful in the diagnosis of diaphragmatic paralysis . Findings on an [[ultrasound]] suggestive of diaphragmatic paralysis include:<ref name="pmid18198248">{{cite journal |vauthors=Summerhill EM, El-Sameed YA, Glidden TJ, McCool FD |title=Monitoring recovery from diaphragm paralysis with ultrasound |journal=Chest |volume=133 |issue=3 |pages=737–43 |date=March 2008 |pmid=18198248 |doi=10.1378/chest.07-2200 |url= |author=}}</ref>
Echocardiography/ultrasound may be helpful in the diagnosis of [disease name]. Findings on an echocardiography/ultrasound suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
**Abnormal paradoxical movement during [[inspiration]] (cranial movement)
 
**Less than 20% thickening of the [[diaphragm]] during inspiration is seen in diaphragmatic paralysis.  
OR
 
There are no echocardiography/ultrasound  findings associated with [disease name]. However, an echocardiography/ultrasound  may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].
 
==Echocardiography/Ultrasound==
 
*There are no echocardiography/ultrasound findings associated with [disease name].
*M-mode ultrasonography is a relatively simple and accurate test for diagnosing paralysis of the diaphragm in the adult population and it can be performed at the bedside.  The paralyzed side shows no active caudal movement of the diaphragm with inspiration and abnormal paradoxical movement (ie, cranial movement on inspiration), particularly with the sniff test.  Patients can be scanned in the anterior axillary line with a curved linear transducer probe angled cranially at a 90° angle to the diaphragm. In this view, the liver is used as a window on the right, while the spleen is used on the left.<sup> [[null 12]]</sup>  B-mode ultrasonography of diaphragm thickness in the zone of apposition of the diaphragm to the rib cage can also provide a sensitive and specific noninvasive assessment of diaphragmatic paralysis. Less than 20% thickening of the diaphragm muscle during inspiration is diagnostic of diaphragmatic paralysis.<sup> [[null 3], [null 13]]</sup>  Ultrasonography can also be used to serially monitor patients with diaphragmatic paralysis for recovery.<sup> [[null 3]]</sup>
OR
*Ultrasound may be helpful in the diagnosis of diaphragmatic paralysis . Findings on an ultrasound suggestive of diaphragmatic paralysis include:<ref name="pmid18198248">{{cite journal |vauthors=Summerhill EM, El-Sameed YA, Glidden TJ, McCool FD |title=Monitoring recovery from diaphragm paralysis with ultrasound |journal=Chest |volume=133 |issue=3 |pages=737–43 |date=March 2008 |pmid=18198248 |doi=10.1378/chest.07-2200 |url= |author=}}</ref>
**Abnormal paradoxical movement during inspiration (cranial movement)
**Less than 20% thickening of the diaphragam is seen in diaphragmatic paralysis.  
**[Finding 3]
O
*There are no echocardiography/ultrasound findings associated with [disease name]. However, an echocardiography/ultrasound  may be helpful in the diagnosis of complications of [disease name], which include:
**[Complication 1]
**[Complication 2]
**[Complication 3]


==References==
==References==
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Latest revision as of 21:22, 29 July 2020

Diaphragmatic Paralysis Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

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Differentiating Diaphragmatic Paralysis from other Diseases

Epidemiology and Demographics

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]

Overview

Ultrasound may be helpful in the diagnosis of diaphragmatic paralysis. Findings on an ultrasound suggestive of diaphragmatic paralysis include abnormal paradoxical movement during inspiration and Less than 20% thickening of the diaphragm.

Ultrasound

  • Ultrasound may be helpful in the diagnosis of diaphragmatic paralysis . Findings on an ultrasound suggestive of diaphragmatic paralysis include:[1]
    • Abnormal paradoxical movement during inspiration (cranial movement)
    • Less than 20% thickening of the diaphragm during inspiration is seen in diaphragmatic paralysis.

References

  1. ↑ Summerhill EM, El-Sameed YA, Glidden TJ, McCool FD (March 2008). "Monitoring recovery from diaphragm paralysis with ultrasound". Chest. 133 (3): 737–43. doi:10.1378/chest.07-2200. PMID 18198248.

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