Diaphragmatic elevation: Difference between revisions
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== Differential Diagnosis == | == Differential Diagnosis == | ||
===Common Causes=== | |||
*[[Lobectomy]] | |||
*[[Pneumectomy]] | |||
*[[Hepatomegaly]] | |||
*[[Pregnancy]] | |||
*[[Pulmonary fibrosis]] | |||
*[[Subphrenic abscess]] | |||
*[[Splenomegaly]] | |||
*[[Ascites]] | |||
*[[Subphrenic abscess]] | |||
*Subphrenic [[Hematoma]] | |||
* [[Aortic aneurysm]] | ===Causes by Organ System=== | ||
* [[Ascites]] | {|style="width:82%; height:100px" border="1" | ||
* [[ | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | ||
* [[Bronchial carcinoma]] | |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" |[[Cardiac surgery]], [[ Aortic aneurysm]] | ||
* Complete diaphragmatic eventration | |- | ||
* [[Diaphragmatic hernia]] | |-bgcolor="LightSteelBlue" | ||
* Gaseous distention of the | | '''Chemical/Poisoning''' | ||
* Gaseous distention of the [[stomach]] | |bgcolor="Beige"| No underlying causes | ||
* [[Guillain-Barre Syndrome]] | |- | ||
* [[ | |-bgcolor="LightSteelBlue" | ||
* [[ | | '''Dental''' | ||
* [[ | |bgcolor="Beige"| No underlying causes | ||
* [[Lobectomy]] | |- | ||
* [[Malignant]] [[ | |-bgcolor="LightSteelBlue" | ||
* [[Metastases]] | | '''Dermatologic''' | ||
* [[Obesity]] | |bgcolor="Beige"| No underlying causes | ||
* Other causes of [[abdominal mass]] | |- | ||
* [[Peripheral neuritis]] | |-bgcolor="LightSteelBlue" | ||
* [[Poliomyelitis]] | | '''Drug Side Effect''' | ||
* [[Polyradiculitis]] | |bgcolor="Beige"|[[Radiation therapy]] | ||
* [[ | |- | ||
* [[ | |-bgcolor="LightSteelBlue" | ||
* [[Pulmonary | | '''Ear Nose Throat''' | ||
* [[Pulmonary | |bgcolor="Beige"| No underlying causes | ||
* [[Pulmonary infarction]] | |- | ||
* Retrosternal [[goiter]] | |-bgcolor="LightSteelBlue" | ||
* [[ | | '''Endocrine''' | ||
* [[Subphrenic | |bgcolor="Beige"|Retrosternal [[goiter]] | ||
* Subpulmonic [[pleural fluid]] | |- | ||
* | |-bgcolor="LightSteelBlue" | ||
* [[Thyroid]] surgery | | '''Environmental''' | ||
* [[Trauma]] | |bgcolor="Beige"| No underlying causes | ||
* Traumatic rupture of [[diaphragm]] | |- | ||
|-bgcolor="LightSteelBlue" | |||
| '''Gastroenterologic''' | |||
|bgcolor="Beige"|Distended [[stomach]] or [[colon]], [[Hepatomegaly]], Gaseous distention of the [[stomach]], Gaseous distention of the [[splenic flexure]] of the [[colon]], [[Ascites]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Genetic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Hematologic''' | |||
|bgcolor="Beige"|[[Splenomegaly]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Iatrogenic''' | |||
|bgcolor="Beige"|[[Thyroid]] surgery, [[Pneumectomy]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Infectious Disease''' | |||
|bgcolor="Beige"|Postviral [[phrenic]] [[neuropathy]], [[Poliomyelitis]], Subphrenic [[abscess]], [[Poliomyelitis]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Musculoskeletal/Orthopedic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Neurologic''' | |||
|bgcolor="Beige"|[[Syringomyelia]], [[Spinal cord transection]], [[Phrenic nerve]] palsy, [[Phrenic nerve]] dysfunction, [[Multiple sclerosis]], Idiopathic [[phrenic]] [[neuropathy]], [[Guillain-Barre syndrome]], Contralateral [[CVA]], [[Amyotrophic lateral sclerosis]], [[Polyradiculitis]], [[Peripheral neuritis]], [[Hemiplegia]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Nutritional/Metabolic''' | |||
|bgcolor="Beige"|[[Malnutrition]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Obstetric/Gynecologic''' | |||
|bgcolor="Beige"|[[Pregnancy]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Oncologic''' | |||
|bgcolor="Beige"|Compression by [[tumor]], Abdominal [[tumour]], [[Metastases]], [[Malignant lymphoma]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Ophthalmologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Overdose/Toxicity''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Psychiatric''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Pulmonary''' | |||
|bgcolor="Beige"|[[Pulmonary]] [[hypoplasia]], [[Pneumonectomy]], [[Diaphragmatic eventration]], Decreased [[lung volume]], [[Pulmonary infarction]], [[Pulmonary fibrosis]], [[Lobectomy]] , [[Diaphragmatic hernia]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Renal/Electrolyte''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Rheumatology/Immunology/Allergy''' | |||
|bgcolor="Beige"|[[Systemic lupus erythematosus ]], [[Mixed connective tissue disease]], [[Dermatomyositis]], [[Connective tissue diseases]], [[Cervical spondylosis]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Sexual''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Trauma''' | |||
|bgcolor="Beige"|[[Blunt trauma]], Traumatic rupture of [[diaphragm ]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Urologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Miscellaneous''' | |||
|bgcolor="Beige"|Limb-girdle [[dystrophy]], Idiopathic[[ myopathy]], [[Amyloidosis]], Subpulmonic [[pleural fluid]], Subphrenic [[Hematoma]], Other causes of [[abdominal mass]], [[Obesity]] | |||
|- | |||
|} | |||
===Causes in Alphabetical Order=== | |||
<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> | |||
{{Multicol}} | |||
*Abdominal [[tumour]] | |||
*[[Amyloidosis]] | |||
*[[Amyotrophic lateral sclerosis]] | |||
*[[Aortic aneurysm]] | |||
*[[Ascites]] | |||
*[[Blunt trauma]] | |||
*[[Bronchial carcinoma]] | |||
*[[Cardiac surgery]] | |||
*[[Cervical]] chiropractic manipulation | |||
*[[Cervical spondylosis]] | |||
*Complete [[diaphragmatic eventration]] | |||
*Compression by [[tumor]] | |||
*[[Connective tissue diseases]] | |||
*Contralateral [[CVA]] : usually MCA distribution | |||
*Decreased [[lung volume]] | |||
*[[Dermatomyositis]] | |||
*[[Diaphragmatic eventration]] | |||
*[[Diaphragmatic hernia]] | |||
*Distended [[stomach]] or [[colon]] | |||
*Gaseous distention of the splenic flexure of the [[colon]] | |||
*Gaseous distention of the [[stomach]] | |||
*[[Guillain-Barre Syndrome]] | |||
*[[Hemiplegia]] | |||
*[[Hepatomegaly]] | |||
*Idiopathic [[myopathy]] | |||
*Idiopathic [[phrenic]] [[neuropathy]] | |||
*Limb-girdle [[dystrophy]] | |||
*[[Lobectomy]] | |||
*[[Malignant lymphoma]] | |||
*[[Malnutrition]] | |||
{{ColBreak}} | |||
*[[Metastases]] | |||
*[[Mixed connective tissue disease]] | |||
*[[Multiple sclerosis]] | |||
*[[Obesity]] | |||
*Other causes of [[abdominal mass]] | |||
*[[Peripheral neuritis]] | |||
*[[Phrenic nerve]] dysfunction | |||
*[[Phrenic nerve]] palsy | |||
*[[Pneumectomy]] | |||
*[[pneumonectomy]] | |||
*[[Poliomyelitis]] | |||
*[[Polyradiculitis]] | |||
*Postviral [[phrenic]] [[neuropathy]] | |||
*[[Pregnancy]] | |||
*[[Pulmonary fibrosis]] | |||
*[[Pulmonary]] [[hypoplasia]] | |||
*[[Pulmonary infarction]] | |||
*[[Radiation therapy]] | |||
*Retrosternal [[goiter]] | |||
*[[Spinal cord]] [[transection]] | |||
*[[Splenomegaly]] | |||
*Subphrenic [[abscess]] | |||
*Subphrenic [[Hematoma]] | |||
*Subpulmonic [[pleural fluid]] | |||
*[[Syringomyelia]] | |||
*[[Systemic lupus erythematosus ]] | |||
*[[Thyroid]] surgery | |||
*[[Trauma]] | |||
*Traumatic rupture of [[diaphragm ]] | |||
{{EndMultiCol}} | |||
==References== | ==References== | ||
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[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} |
Latest revision as of 19:03, 3 June 2015
Diaphragmatic elevation |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Differential Diagnosis
Common Causes
- Lobectomy
- Pneumectomy
- Hepatomegaly
- Pregnancy
- Pulmonary fibrosis
- Subphrenic abscess
- Splenomegaly
- Ascites
- Subphrenic abscess
- Subphrenic Hematoma
Causes by Organ System
Cardiovascular | Cardiac surgery, Aortic aneurysm |
Chemical/Poisoning | No underlying causes |
Dental | No underlying causes |
Dermatologic | No underlying causes |
Drug Side Effect | Radiation therapy |
Ear Nose Throat | No underlying causes |
Endocrine | Retrosternal goiter |
Environmental | No underlying causes |
Gastroenterologic | Distended stomach or colon, Hepatomegaly, Gaseous distention of the stomach, Gaseous distention of the splenic flexure of the colon, Ascites |
Genetic | No underlying causes |
Hematologic | Splenomegaly |
Iatrogenic | Thyroid surgery, Pneumectomy |
Infectious Disease | Postviral phrenic neuropathy, Poliomyelitis, Subphrenic abscess, Poliomyelitis |
Musculoskeletal/Orthopedic | No underlying causes |
Neurologic | Syringomyelia, Spinal cord transection, Phrenic nerve palsy, Phrenic nerve dysfunction, Multiple sclerosis, Idiopathic phrenic neuropathy, Guillain-Barre syndrome, Contralateral CVA, Amyotrophic lateral sclerosis, Polyradiculitis, Peripheral neuritis, Hemiplegia |
Nutritional/Metabolic | Malnutrition |
Obstetric/Gynecologic | Pregnancy |
Oncologic | Compression by tumor, Abdominal tumour, Metastases, Malignant lymphoma |
Ophthalmologic | No underlying causes |
Overdose/Toxicity | No underlying causes |
Psychiatric | No underlying causes |
Pulmonary | Pulmonary hypoplasia, Pneumonectomy, Diaphragmatic eventration, Decreased lung volume, Pulmonary infarction, Pulmonary fibrosis, Lobectomy , Diaphragmatic hernia |
Renal/Electrolyte | No underlying causes |
Rheumatology/Immunology/Allergy | Systemic lupus erythematosus , Mixed connective tissue disease, Dermatomyositis, Connective tissue diseases, Cervical spondylosis |
Sexual | No underlying causes |
Trauma | Blunt trauma, Traumatic rupture of diaphragm |
Urologic | No underlying causes |
Miscellaneous | Limb-girdle dystrophy, Idiopathicmyopathy, Amyloidosis, Subpulmonic pleural fluid, Subphrenic Hematoma, Other causes of abdominal mass, Obesity |
Causes in Alphabetical Order
References
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016