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

What is genetic equilibrium, What is genetic equilibrium? The Genetic e...

What is genetic equilibrium? The Genetic equilibrium is the result of the Hardy-Weinberg law, a principle that affirms that under specific conditions the frequencies of the all

Determine the symptoms of cholera, Determine the Symptoms of Cholera  A...

Determine the Symptoms of Cholera  An infective dose of around one million organisms should be ingested to cause illness. The bacteria adhere to the small intestine wall, where

Explain the treatment of susceptible tb, Treatment of susceptible tb Al...

Treatment of susceptible tb All isolates of Mycobacterium tuberculosis should be tested for antimicrobial susceptibility, but results generally do not become available for at l

What volume of water to make solution, You need to prepare 500 ml of a solu...

You need to prepare 500 ml of a solution containing 10 mM Tris, 0.15 M NaCl and 1 mg/ml SDS. At your work disposal are stock solutions containing 1 M Tris, 2.5M NaCl and 10% (w/v)

Determine the phylum annelida to arthropods, What is the morphological char...

What is the morphological characteristic that evolutionarily approximates the beings of the phylum Annelida to arthropods? The metameric feature, i.e., the body segmentation in

List disbeliefs which patients have about insulin, Q. List disbeliefs which...

Q. List disbeliefs which patients have about insulin? a) Insulin is not effective. Some patients believe that insulin is not effective for treating diabetes. b) Insulin c

Conductometry, Highlight ten applications of conductometry and explain four...

Highlight ten applications of conductometry and explain four in detail

Explain about mandible, Q. Explain about Mandible? In the mandible, att...

Q. Explain about Mandible? In the mandible, attached keratinized tissue normally atrophies with the underlying bone. As a result there is generally a relatively narrow band of

Explain the relationships in systematic, In systematic four types of relati...

In systematic four types of relationships are studied and they are: a) Relationships of phylogeny (evolutionary descent) or the degree to which two organisms are thought to be r

What is peaked t-waves, Q. What is Peaked T-Waves? Exercise induced inc...

Q. What is Peaked T-Waves? Exercise induced increase in T-wave amplitude in V2 is quite predictive of anterior wall ischaemia (specificity = 95 percent). It appears that this 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