LIBRO + ANEXOS NEUMOLOGÍA PEDIÁTRICA

Neumología Pediátrica. Anexos ❚ 139 2. Recognize the physical findings typical of unilateral and bilateral diaphragmatic paralysis c. Imaging 1. Recognize the radiographic appearance of diaphragmatic eventration 2. Recognize the radiographic appearance of diaphragmatic paralysis 3. Recognize the significance of paradoxical movement of the diaphragm on fluoroscopy d. Pulmonary function tests e. Other investigations f. Diagnostic criteria g. Complications 1. Recognize that chronic atelectasis and chronic/recurrent pneumonia are complications of diaphragmatic eventration and paralysis 5. Prevention and therapeutic approach a. Prevention b. Therapeutic approach 1. Recognize the indications for repair of a diaphragmatic eventration 2. Know that conservative management using an endotracheal tube and continuous positive airway pressure is indicated in patients with postsurgical traumatic injury of the phrenic nerve 3. Know that persistence of symptoms that require continued ventilatory support following post-surgical traumatic injury of the phrenic nerve is an indication for plication of the diaphragm 4. Know that the best position for an infant with unilateral diaphragmatic paralysis is with the affected diaphragm down c. Side effects of therapy 6. Prognosis a. Natural history 1. Know the natural history of postsurgical traumatic injury of the phrenic nerve b. Prognosis with therapy d. Thoracic vertebrae - scoliosis 1. Epidemiology 2. Etiology/genetics a. Recognize that the majority of cases of scoliosis are idiopathic 3. Pathophysiology a. Pathology b. Path mechanisms and consequences 4. Diagnosis and clinical manifestations a. History b. Physical c. Imaging 1. Recognize changes induced by thoracic scoliosis on x-ray study of the chest d. Pulmonary function tests