Clinical findings associated with congenital diaphragmatic hernia ...

[strangeaffliction]

Clinical findings associated with congenital diaphragmatic hernia include which of the follow-ing?
 
  1. Severe cyanosis
  2. Decreased breath sounds
  3. Displaced heart sounds
  4. Hepatomegaly
  a. 1 and 3 only
  b. 1, 2, and 3 only
  c. 3 and 4 only
  d. 2, 3, and 4 only

Question 2

Which of the following diagnostic tools serves to confirm the diagnosis of congenital heart dis-ease?
 
  a. Sweat test
  b. Fluoroscopy
  c. Chest radiography
  d. Ultrasound

[frejo]

Answer to Question 1

ANS: B
Physical examination may yield the following findings: scaphoid abdomen (because the ab-dominal contents are in the thorax), decreased breath sounds, displaced heart sounds (because the heart is pushed away from the hernia), and severe cyanosis (from lung hypoplasia and pul-monary hypertension).

Answer to Question 2

ANS: C
The diagnosis is established with chest radiography.