Podcast
Questions and Answers
What is the most common type of congenital diaphragmatic hernia?
What is the most common type of congenital diaphragmatic hernia?
Where does Bochdalek type CDH commonly occur?
Where does Bochdalek type CDH commonly occur?
What complication is commonly associated with congenital diaphragmatic hernia?
What complication is commonly associated with congenital diaphragmatic hernia?
What is one treatment option for congenital diaphragmatic hernia?
What is one treatment option for congenital diaphragmatic hernia?
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What differentiates Morgagni's hernia from Bochdalek hernia?
What differentiates Morgagni's hernia from Bochdalek hernia?
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What is a crucial initial step in the management of congenital diaphragmatic hernia (CDH)?
What is a crucial initial step in the management of congenital diaphragmatic hernia (CDH)?
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What has changed regarding the repair of congenital diaphragmatic hernia (CDH)?
What has changed regarding the repair of congenital diaphragmatic hernia (CDH)?
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Which action is necessary to prevent gastric or intestinal distension in a patient with CDH?
Which action is necessary to prevent gastric or intestinal distension in a patient with CDH?
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Which figure shows the thoracoscopic repair of congenital diaphragmatic hernia?
Which figure shows the thoracoscopic repair of congenital diaphragmatic hernia?
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What is typically observed on a chest X-ray in a patient with CDH?
What is typically observed on a chest X-ray in a patient with CDH?
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What is a primary local clinical manifestation of congenital diaphragmatic hernia (CDH)?
What is a primary local clinical manifestation of congenital diaphragmatic hernia (CDH)?
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Which type of hernia is NOT identified as a type of congenital diaphragmatic hernia?
Which type of hernia is NOT identified as a type of congenital diaphragmatic hernia?
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Which investigation is primarily used to demonstrate intestinal loops within the hemithorax in suspected cases of CDH?
Which investigation is primarily used to demonstrate intestinal loops within the hemithorax in suspected cases of CDH?
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What role does an echocardiogram (ECHO) play in the assessment of congenital diaphragmatic hernia?
What role does an echocardiogram (ECHO) play in the assessment of congenital diaphragmatic hernia?
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Which of the following is NOT included in the preparation for surgery in cases of congenital diaphragmatic hernia?
Which of the following is NOT included in the preparation for surgery in cases of congenital diaphragmatic hernia?
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Study Notes
Congenital Diaphragmatic Hernia
- Bochdalek hernia is the most common type (80-90%) and often occurs on the left side.
- Bochdalek hernia involves a defect in the posterolateral portion of the diaphragm.
- Morgagni's hernia occurs in the anteromedial portion of the diaphragm.
Clinical Manifestations of Congenital Diaphragmatic Hernia (CDH)
- CDH commonly presents with respiratory distress.
Diagnosis
- Chest X-ray (AP, lateral views) can show intestinal loops within the hemithorax.
- ECHO is used to rule out cardiac abnormalities and assess severity of pulmonary hypertension.
Treatment
- A fistula ligation and primary esophageal anastomosis procedure is used if possible.
- A diversion procedure can be used to redirect saliva and feeding through a tube to prevent aspiration if fistula ligation is not feasible.
- Repair of CDH is no longer seen as an emergency procedure, and a delayed repair is the standard approach.
Management of Congenital Diaphragmatic Hernia (CDH)
- Initial postnatal therapy focuses on resuscitation in cardiopulmonary distress.
- Prompt endotracheal intubation and ventilation support are essential.
- Insertion of a nasogastric tube is critical to prevent gastric/intestinal distension.
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Description
This quiz covers the key aspects of Congenital Diaphragmatic Hernia (CDH), including types such as Bochdalek and Morgagni hernias, clinical manifestations, diagnosis methods like X-ray and ECHO, and treatment options. Test your knowledge on the management and clinical implications of CDH.
