Question

A 3070-gram female infant was delivered via cesarean section at 39 weeks gestational age for failure to progress.what was an obvious sign that may have suggested that the infant had an undiagnosed congential diaphragmatic hernia?

Answer 1

Congenital diaphragmatic hernia :

A Diaphragmatic hernia is defined as a communication between the abdominal and thoracic cavities with or with out abdominal contents in thorax.

The obvious/cardinal sign that suggests that the infant had an undiagnosed congenital diaphragmatic hernia is Respiratory distress (tachypnea, grunting,cyanosis,use of accessory muscles)

The other signs include:

Scaphoid abdomen.

Increased chest wall diameter.

Bowel sound in chest.

Decreased or absence of breathe sounds on the side of hernia.

Shifting of apex beat to contralateral side of hernia.