Diaphragmatic hernia, Biology

Assignment Help:

Diaphragmatic Hernia:

In this condition there  is a slight herniation ofabdominal organs  (stomach intestine and liver) or extreme protrusion of abdominal contents into the thoracic cavity at birth. It usually occurs on the left side. The abdominal contents may press the lungs and heart from normal position. The lung on affected  side (usually left lung) is compressed and hypoplastic. 

Assessment:

Child may present with severe respiratory distress  (tachypnea, dyspnoea, retraction and cyanosis). The effected side of the chest does not expand. The abdomen is generally  small and scaphoid in contour, but the chest appears  relatively large. On percussion over the affected part of thorax, dull sound may be heard and ausculation reveals increased or decreased breaths sounds or absent breath sounds. Apical heart beat my be heard on right side because of dextrocardia and the peristalsis of intestine may be heard in the chest. Diagnostic  evaluation includes X-ray of chest which shows loops of intestine containing  fluid and air  and mediastinum is shifted  to the opposite side. 

Management:

Resuscitation of new born at birth is necessary and use of positive pressure breathing should be done carefully. This is followed by surgical correction of the defect. Patient is placed on affected side to allow  the expansion  of the lung which is not severly compressed and patient is placed in semifowlers  position.  


Related Discussions:- Diaphragmatic hernia

State fluid exchange between blood plasma in a capillary, Which of the foll...

Which of the following statements are true for fluid exchange between the blood plasma in a capillary in the leg and the interstitial spaces surrounding that capillary? A. Bloo

Liquid manure handling, L iq uid manure handling This involves use of...

L iq uid manure handling This involves use of lot of water to flush the manure in to collection tank. Storage capacity depends on type of farm, irrigation facility, storage t

Define requirements of vitamins and minerals during surgery, Define Require...

Define Requirements of Vitamins and Minerals during Surgery? Normal tissue stores of vitamins are required for the metabolism of carbohydrates and protein. Deficiency states li

What is osteogenesis, Osteogenesis The term osteogenesis describes esse...

Osteogenesis The term osteogenesis describes essentially two distinctly different phenomena by which bone can become juxtaposed to an implant surface.

Methods of filter feeding, Methods of Filter Feeding More elaborate me...

Methods of Filter Feeding More elaborate methods of filter feeding are seen in tube dwelling polychaetes which use tentacles to entangle the food particles. Figure shows some

Disorders of gonads, DISORDER S OF THE GONADS Hypogonadism. Inadequa...

DISORDER S OF THE GONADS Hypogonadism. Inadequate gonadal function is called hypogonadism. It is due to defects in, or injury to the hypothalamus, the pituitary gland, of th

Plants of dry environment open their stomata only at night, Why do few plan...

Why do few plants adapted to a dry environment open their stomata only at night? Throughout the day in dry habitats the guard cells become the stomata close and flaccid; concur

Cell theory, why is virus an exception of cell theory

why is virus an exception of cell theory

Contractile vacuoles of amoeba, Normal 0 false false false ...

Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4

Explain management strategies for genetically modified crops, Explain Manag...

Explain Management strategies for genetically modified crops? Crops that have been genetically modified (GM) to be toxic to insect pests are now common in US agriculture. Make

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd