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)