| Line 17: |
Line 17: |
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| | The diaphragm becomes indistinct ventrally. | | The diaphragm becomes indistinct ventrally. |
| − | |l1= | + | |l1=Hernia, Peritoneopericardial Diaphragmatic |
| | |q2=What is the most likely diagnosis? | | |q2=What is the most likely diagnosis? |
| | |a2= | | |a2= |
| | Peritoneopericardial diaphragmatic hernia. | | Peritoneopericardial diaphragmatic hernia. |
| − | |l2= | + | |l2=Hernia, Peritoneopericardial Diaphragmatic |
| | |q3=How could you confirm this diagnosis? | | |q3=How could you confirm this diagnosis? |
| | |a3= | | |a3= |
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| | An upper gastrointestinal contrast radiographic study could also be used. In this case contrast approached the diaphragm but did not enter the pericardial sac; however, intestinal proximity to the diaphragm confirms the diagnosis, as normally the liver is interposed between these structures. | | An upper gastrointestinal contrast radiographic study could also be used. In this case contrast approached the diaphragm but did not enter the pericardial sac; however, intestinal proximity to the diaphragm confirms the diagnosis, as normally the liver is interposed between these structures. |
| − | |l3= | + | |l3=Hernia, Peritoneopericardial Diaphragmatic#Diagnosis |
| | |q4=Describe the pathophysiology of this condition. | | |q4=Describe the pathophysiology of this condition. |
| | |a4= | | |a4= |
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| | Symptomatic patients generally have signs referable to the cardiopulmonary or gastrointestinal systems. | | Symptomatic patients generally have signs referable to the cardiopulmonary or gastrointestinal systems. |
| − | |l4= | + | |l4=Hernia, Peritoneopericardial Diaphragmatic |
| | |q5=Describe the surgical treatment of this condition. | | |q5=Describe the surgical treatment of this condition. |
| | |a5= | | |a5= |
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| | This is especially important when the hernial sac is large and pneumopericardium could impair pulmonary expansion. | | This is especially important when the hernial sac is large and pneumopericardium could impair pulmonary expansion. |
| − | |l5= | + | |l5=Hernia, Peritoneopericardial Diaphragmatic#Treatment |
| | |q6=What is the long-term prognosis following surgery for this patient? | | |q6=What is the long-term prognosis following surgery for this patient? |
| | |a6= | | |a6= |
| | Prognosis following herniorrhaphy is excellent. | | Prognosis following herniorrhaphy is excellent. |
| − | |l6= | + | |l6=Hernia, Peritoneopericardial Diaphragmatic#Prognosis |
| | </FlashCard> | | </FlashCard> |
| | | | |