Diaphragmatic hernia (DHA)

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  • Defining characteristics:
    An abnormal test for diaphragmatic hernia indicates abdominal viscera (liver, stomach, spleen, small intestine, colon, pancreas, omentum) has been detected in the thoracic cavity.

  • Common differential diagnoses:
    Traumatic diaphragmatic hernia, pathologic diaphragmatic hernia, peritoneal pericardial diaphragmatic hernia, hiatal hernia

  • Helpful additional data:
    Was there associated trauma (vehicular, dog fight, etc)? Has the patient been having labored breathing for a period of time?

  • Commonly associated diagnostics:
    Consider thoracic ultrasound if available

  • Commonly associated treatments:
    Stabilization as needed, supportive care (oxygen), symptomatic treatment, discuss corrective options

  • Commonly associated home care:
    Based on primary cause