Hérnia Diafragmática Congênita Flashcards
(24 cards)
What is congenital diaphragmatic hernia?
A birth defect in which there is an abnormal opening in the diaphragm, allowing abdominal organs to move into the chest cavity.
True or False: Congenital diaphragmatic hernia affects only one side of the diaphragm.
Falso, ambos os lados podem ser acometidos, porém 85% é do lado esquerdo.
What are common symptoms of congenital diaphragmatic hernia in newborns?
Respiratory distress, cyanosis, and a scaphoid abdomen.
Fill in the blank: The most common type of congenital diaphragmatic hernia is _______.
Bochdalek hernia
What imaging technique is commonly used to diagnose congenital diaphragmatic hernia?
Prenatal ultrasound
Pós natal: Rx torax
What is the primary cause of congenital diaphragmatic hernia?
Failure of the diaphragm to fully develop during fetal growth.
Sendo a mais comum a hérnia de Bochdalek, região postero-lateral (lado esquerdo)
Congenital diaphragmatic hernia can lead to ____________ and ________________.
Hipoplasia Pulmonar e Hipertenão pulmonar
Which side is more commonly affected by congenital diaphragmatic hernia?
The left side
What is the typical treatment for congenital diaphragmatic hernia?
Surgical repair of the diaphragm.
Qual é a conduta inicial no RN com hérnia de Bochdalek?
Estabilização clínica com suporte ventilatório (intubação) e manejo da hipertensão pulmonar.
Quando é indicada a cirurgia?
Após estabilização clínica do paciente
What role does mechanical ventilation play in the management of congenital diaphragmatic hernia?
It helps support breathing until surgical repair can be performed.
Qual o quadro clínico típico em neonatos?
Insuficiência respiratória grave, abdome escavado, tórax assimétrico
What is a potential complication of congenital diaphragmatic hernia repair?
Recurrence of the hernia
Multiple Choice: Which of the following is NOT a symptom of congenital diaphragmatic hernia? A) Rapid breathing B) Abdominal pain C) Cyanosis D) Scaphoid abdomen
B) Abdominal pain
What is the significance of the ‘scaphoid abdomen’ in congenital diaphragmatic hernia?
It indicates that the abdominal organs have moved into the thoracic cavity.
Fill in the blank: The survival rate for infants with congenital diaphragmatic hernia has improved due to advances in _______.
Neonatal care
True or False: All cases of congenital diaphragmatic hernia require surgical intervention.
False
What is the expected follow-up care for infants after surgery for congenital diaphragmatic hernia?
Monitoring for respiratory function and growth.
Multiple Choice: Which of the following is a common associated condition with congenital diaphragmatic hernia? A) Down syndrome B) Cleft lip C) Congenital heart defects D) Sickle cell disease
C) Congenital heart defects
What is the role of prenatal counseling for parents of a fetus diagnosed with congenital diaphragmatic hernia?
To provide information on the condition, treatment options, and potential outcomes.
True or False: Congenital diaphragmatic hernia can occur without any known genetic predisposition.
True
Fill in the blank: Congenital diaphragmatic hernia may lead to _______ due to impaired lung development.
Pulmonary hypertension
Com o que se deve ter atenção em casa do Hénia diafragmática congênita?
Não ventilar sob máscara (AMBU)
Estabilizar o RN
Limitar a manipulação
