Hernia diafragmatica Flashcards

1
Q

Hernia diafragmatica

A

Comunicación entre la cavidad abdominal y la torácica

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2
Q

Tipos hernia diafragmatica

A

Hiato esófagico
Anterior: Morgagni derecho
Congénita: bochdaleck

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3
Q

Definición HERNIA DIAFRAGMATICA

Bochdaleck

A

Defecto en la zona posterolateral del diafragma por el cual pasan visceras abdominales a la cavidad torácica
Hipoplasia pulmonar
Mal rotacion intestinal
IZQUIERDA

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4
Q

HD se asocia

A

Anomalías del tubo neural y cardiacas

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5
Q

HD cuadro

A
SDR
Cianosis
Inestabilidad circulatoria sec a hipertensión pulmonar 
INTUBACION ENDOTRAQUEAL 
Abdomen excavado
Tórax distendido
Latido cardiaco a la derecha
Ruidos hidroaeres a nivel torácico
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6
Q

Rx

A

Silueta cardíaca a la derecha

Herniacion de visceras

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7
Q

Dx

A

Ecocardiograma

Función y descartar otro defecto

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8
Q

Tx

A

Inotropicos
Vasodilatadores pulmonares
Sedación
Sonda nasogastrica descompresiva

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