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#REDIRECT[[Hernia, Peritoneopericardial Diaphragmatic]]
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|backcolour =
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|linkpage =Cardiology - WikiClinical
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|linktext =Cardiology
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|sublink1=Cardiovascular Conditions - WikiClinical
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|subtext1=CARDIOVASCULAR CONDITIONS
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|maplink1= Cardiovascular Conditions (Content Map) - WikiClinical
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|pagetype=Clinical
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}}
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{{dog}}{{cat}}
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Common pericardial congenital defect in dogs & cats
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===Description===
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Pericardio-Peritoneo-Diaphragmatic Hernia (PPDH) is a congenital abnormality characterized by the incomplete formation of the diaphragm.  The incomplete formation allows for a section of the diaphragm to remain patent allowing abdominal contents (e.g. intestines, liver) to move into the thoracic cavity and eventually into the pericardial sac.
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===Diagnosis===
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====History & Clinical Signs====
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-Asymptomatic
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-Vomiting
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-Diarrhea
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-Abdominal Pain
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-Anorexia
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-Weight Loss
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-Shock
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====Physical Exam====
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-Empty Abdomen on palpation
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-Quiet Heart Sounds
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-Gut sounds around the heart (If gut is herniated)
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====Radiography====
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-Enlarged cardiac silhouette
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-Intestines in the pericardial sac (seen best with barium swallow)
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====Echocardiography====
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-Abdominal organs in the pericardial sac
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===Treatment===
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-Surgical closure of the defect
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===Prognosis===
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-Good with surgery
 
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