Congenital diphargmatic henia

Case presentation 11Congenital diphargmatic henia Submitted to : Mrs. Sukhwinder KaurSubmitted by : Ms.Khushveer Kaur

BIODATA OF PATIENTName Aarushi C.R No 183157Age 2 monthsSex FemaleWard/Bed No NSICU/13Address Kazampur, PanchkulaReligion Hindu Monthly Family income Rs20000/ monthDate of Admission 30 March, 2011Consultant Dr.RaoDiagnosis Diaphragmatic herniaChief Complaints at admissionHigh-grade fever x 4daysRespiratory distress x 4 daysHistory of Present IllnessChild is born to G1 mother by full-term normal vaginal delivery. Two months back ,child was apparently normal. Child has fever and respiratory distress since two days back. Child was diagnosed as case of diaphragmatic hernia at GMCH-32, from where he was referred to PGI.History of Past illnessNo significant history of past illness.

Family HistoryNo of family members 5Type of family Nuclear No H/O Congenital problems in the family.Health facility near home.Child lives in a village. There is a dispensary at a distance of 1 km .HousingPatient lives in her own pucca house. There are total 3 rooms. Indian toilet facility is there. Source of water is from tap and hand pump.Personal HistoryChild is on normal diet . The child used to have16 to 18 hrs of sleep at home.Birth History child is born by FTNVD . There is no history of any birth injury or birth asphyxia during birth. Child cried at birth. Birth weight- 2.5 kg .IMMUNIZATION HISTORYImmunization complete till date.NUTRITIONAL STATUSChild is on breast feeding.

Elimination:Patient used to have normal bowel movement. GENERAL PHYSICAL EXAMINATIONBody weight - 4.3 KgHeight - 50 cm Temperature 36.80CPulse - 140 beats per minuteRespiration - 42/min. Capillary refill time -