SOFT TISSUE SX 19

Question 1

what si the most common cause of diaphragmatic rupture?

Answer 1

trauma-85%

Question 2

what are the 3 openings of the diaphragm?

Answer 2

• caval foramen
• oesophageal hiatus
• aortic hiatus

Question 3

what are some signs of diaphragmatic rupture seen in this rad?

Answer 3

-elevation in cardiac silhouette due to organs coming forward and pushing it up
-lung is not taking up the entirety of thoracic cavity
-

Question 4

what are 5 teachniques for stabilisaiton of diaphragmatic rupture?

Answer 4

• cage rest
• fluid therapy
• oxygen
• analgesia
• thoracocentesis

Question 5

what are the most common locations in the diaphragm for a rupture?

Answer 5

-she said ventral

Question 6

SUTURING DEFECT OF DIAPHRAGM DORSAL VENTRAL DIRECTION

Question 7

POST OP CHEST DRAIN

Question 8

what is the most common complication after diaphragmatic repair sx?

Answer 8

respiratory crisis

Question 9

ON RE-EXPANSION PULMONARY OEDEMA

Question 10

CIRCUMFENTIAL COSTAL TEAR

Question 11

what conditions is this?
-what are you seeing in rad?

Answer 11

PPDH: peritoneo-pericardial diaphragmatic hernia

-organs herniating towards pericardium!
-microhepatica
-enlarged cardiac sillhouette

Question 12

what are osme (3) other concurrent abnormalities in PPDH?

Answer 12

+/-cranial abdominal hernias
+/- swirling hair pattern over sternum
+/- fusion defects of sternum