Pulmonary hypoplasia Flashcards

1
Q

causes of Pulmonary hypoplasia

A

Causes include
oligohydramnios
congenital diaphragmatic hernia

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2
Q

What is Pulmonary hypoplasia

A

a term used for newborn infants with underdeveloped lungs

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3
Q

You are asked to speak to a family who have just received a diagnosis of pulmonary hypoplasia on fetal MRI. Which of the following conditions is the most common cause of pulmonary hypoplasia?

Polyhydramnios
Congenital diaphragmatic hernia
Diaphragm agenesis
Tetralogy of Fallot
Osteogenesis imperfecta

A

Pulmonary hypoplasia in CDH occurs alongside the hernial development rather than as a direct result of it, as part of a sequence
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Infants with congenital diaphragmatic hernia (CDH) have associated pulmonary hypoplasia. This is not necessarily due to direct compression of the lung by herniated viscera but rather occurs as part of a sequence alongside the hernial development.

Oligohydramnios, rather than polyhydramnios, leads to pulmonary hypoplasia. It is believed that oligohydramnios decreases the size of the intrathoracic cavity, thus preventing foetal lung growth.

Diaphragm agenesis, tetralogy of Fallot and osteogenesis imperfecta are all less common causes of pulmonary hypoplasia.

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