Congenital diaphragmatic hernia
2,085views
Congenital diaphragmatic hernia
Respiratory system
Congenital disorders
Disorders of the pleura, mediastinum, and chest wall
Infectious, immunologic, and inflammatory disorders of the lower airways
Infectious, immunologic, and inflammatory disorders of the upper airways
Metabolic, regulatory, and structural disorders
Neoplasms
Obstructive airway disease
Pneumoconiosis, fibrosing, and restrictive pulmonary disorders or interstitial lung disease
Respiratory failure or respiratory arrest and pulmonary vascular disorders
Traumatic or mechanical disorders
Respiratory system pathology review
Cystic fibrosis: Pathology review
Pleural effusion, pneumothorax, hemothorax and atelectasis: Pathology review
Pneumonia: Pathology review
Tuberculosis: Pathology review
Lung cancer and mesothelioma: Pathology review
Nasal, oral and pharyngeal diseases: Pathology review
Obstructive lung diseases: Pathology review
Restrictive lung diseases: Pathology review
Apnea, hypoventilation and pulmonary hypertension: Pathology review
Deep vein thrombosis and pulmonary embolism: Pathology review
Respiratory distress syndrome: Pathology review
Assessments
Flashcards
0 / 5 complete
USMLE® Step 1 questions
0 / 1 complete
High Yield Notes
8 pages
Flashcards
Congenital diaphragmatic hernia
0 of 5 complete
Questions
USMLE® Step 1 style questions USMLE
0 of 1 complete
A 2-hour-old male neonate develops difficulty breathing while in the nursery. He was born at 36-weeks gestational age via a vaginal delivery. Prenatal development was complicated by maternal gestational diabetes. The patient’s vitals are notable for tachypnea. Physical exam reveals nasal flaring and intercostal retractions. The apical impulse is displaced to the right. Imaging is ordered, and the results are as follows:
Image reproduced from Radiopedia
Which of the following best describes the cause of this patient’s respiratory presentation?
Image reproduced from Radiopedia
Which of the following best describes the cause of this patient’s respiratory presentation?
Summary
Congenital diaphragmatic hernia (CDH) is a birth defect in which the diaphragm doesn't form properly, resulting in the protrusion of abdominal organs into the chest cavity. Most babies with CDH have problems breathing and need surgery within the first few days of life. Without treatment, they may be life-threatening complications such as hypoxia, intestinal obstruction, incarceration, and perforation.