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Spot Diagnosis (Congenital Disorder) with Video

Discussion in 'Spot Diagnosis' started by gomuzzz, Oct 6, 2012.

  1. gomuzzz

    gomuzzz Well-Known Member

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    A newborn male infant is born to a mother with normal spontaneous vaginal delivery attend to Pekanbaru hospital, Indonesia). He cries immediately, hours later he very thacypneic... he had severe retraction!

    Can you diagnose this ??

    :D

    This similiar thread already i'hav posted in Medical Geek Forum, haha
     

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    Last edited by a moderator: Jul 13, 2013

  2. gomuzzz

    gomuzzz Well-Known Member

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    This is a CXR for clue

    clue.jpg
     

  3. bb100

    bb100 Bronze Member

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    Congenital diaphragmatic hernia on the left side
     

  4. neo_star

    neo_star Moderator

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    Related Self Assessment Question

    A newborn infant suffers from a posterolateral defect on the left side of the body. His abdominal contents have herniated through the defect into the thoracic cavity, and as a result, the infant suffers from pulmonary hypoplasia. His breathing difficulty is life threatening because the herniation has inhibited lung development and inflation. This congenital defect is due to a malformation of which of the following? A. mesentery of the esophagus
    B. muscular ingrowth of the body wall
    C. pleuropericardial membrane
    D. pleuroperitoneal membrane
    E. septum transversum

    EXPLANATION:

    congenital defect of the pleuroperitoneal membrane results in an abnormal opening in the posterolateral aspects of the diaphragm. This defect occurs more often on the left side of the body. It is due to the failure of the pleuroperitoneal membrane to form properly and/or to fuse with the other parts of the diaphragm: the mesentery of the esophagus (choice A), the muscular ingrowth of the body wall (choice B), and the septum transversum (choice E). The pleuropericardial membranes (choice C) participate in the formation of the mediastinum and do not contribute to the formation of the diaphragm.

    The answer is D.


    (Y)
     

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