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PROBLEM OF THE RUPTURED DIAPHRAGM

Philip E. Bernatz

Open publisher page 52 citations

Abstract

A high index of suspicion on the part of the physician is the most important factor in diagnosing ruptured diaphragm. Clinical manifestations in this series vary from no symptoms to life-endangering problems immediately after the injury. The presence of extraneous shadows above the diaphragm, such as gas-containing or homogeneous areas, along with a shift of the mediastinal structures away from this side, is extremely suggestive of a ruptured diaphragm. Of 112 patients who received surgical treatment for a ruptured diaphragm, 78 incurred the injury in automobile accidents. Transthoracic repair of the ruptured diaphragm is recommended as early as the patient's condition permits.

About this research paper

What this paper is about

A high index of suspicion on the part of the physician is the most important factor in diagnosing ruptured diaphragm. Clinical manifestations in this series vary from no symptoms to life-endangering problems immediately after the injury. The presence of extraneous shadows above the diaphragm, such as gas-containing or homogeneous areas, along with a shift of the mediastinal structures away from this side, is extremely suggestive of a ruptured diaphragm. Of 112 patients who received surgical treatment for a ruptured diaphragm, 78 incurred the injury in automobile accidents. Transthoracic repair of the ruptured diaphragm is recommended as early as the patient's condition permits.

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OpenAlex reports 52 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

A high index of suspicion on the part of the physician is the most important factor in diagnosing ruptured diaphragm. Clinical manifestations in this series vary from no symptoms to life-endangering problems immediately after the injury. The presence of extraneous shadows above the diaphragm, such as gas-containing or homogeneous areas, along with a shift of the mediastinal structures away from this side, is extremely suggestive of a ruptured diaphragm. Of 112 patients who received surgical treatment for a ruptured diaphragm, 78 incurred the injury in automobile accidents. Transthoracic repair of the ruptured diaphragm is recommended as early as the patient's condition permits.

Key concepts: Diaphragm (acoustics), Medicine, Homogeneous, Surgery, Engineering, Thermodynamics, Electrical engineering, Physics

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