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

Explain basic concepts of nutrition science, Explain Basic Concepts of Nutr...

Explain Basic Concepts of Nutrition Science? Food is the very basis of our life, the food we eat, though the process of digestion, we know, is converted into nutrients, and the

Define requirements of vitamin a for infants, Define requirements of Vitami...

Define requirements of Vitamin A for infants? As for vitamin A deficiency, requirement of vitamin A is the most easy to meet as it is abundantly present in green and yellow veg

What are social dangers, Members belonging to the scientific community fear...

Members belonging to the scientific community fear the misuse of this therapy leading to dangerous consequences.  People may try to insert the desired gene, for example, the gene f

De vega annuloplasty, De Vega Annuloplasty :  Classic De Vega annulop...

De Vega Annuloplasty :  Classic De Vega annuloplasty is done using 2'0' double armed polyester suture with pledgets on either end. It starts with one of the needles passed fr

Anaerobic energy, how is the anaerobic energy system not entirely anaerobic...

how is the anaerobic energy system not entirely anaerobic?

How to defibrillate, How to Defibrillate? Three shocks should be given...

How to Defibrillate? Three shocks should be given initially in a 200J - 200J - 360J sequence. For most recoverable situations, 200J would be adequate and results in least myco

Define nutrition and sports - physical fitness of an athlete, Define Nutrit...

Define Nutrition and Sports - Physical Fitness of an athlete? The physical fitness and performance of an athlete is affected by both current and previous nutritional status. T

Photosynthesis carbon dioxide, Q. Why is it said that during photosynthesis...

Q. Why is it said that during photosynthesis carbon dioxide is improved to form glucose? During photosynthesis carbon dioxide is energetically improve with hydrogen from water.

Naegleria, is naegleria found in air

is naegleria found in air

What is the difference between macro and micronutrients, What is the differ...

What is the difference between macro and micronutrients? The categorization criterion of nutrients into macro and micronutrients has no relation to the size of the molecule. M

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