Imaging
Foramen of Morgagni Hernia
- Preliminary Diagnosis: Foramen of Morgagni Hernia
-
I. What imaging technique is first-line for this diagnosis?
- II. Describe the advantages and disadvantages of this technique for diagnosing a foramen of morgagni hernia.
-
III. What are the contraindications for the first-line imaging technique?
-
IV. What alternative imaging techniques are available?
- V. Describe the advantages and disadvantages of the alternative techniques for diagnosing foramen of morgagni hernia.
-
VI. What are the contraindications for the alternative imaging techniques?
Preliminary Diagnosis: Foramen of Morgagni Hernia
I. What imaging technique is first-line for this diagnosis?
Chest X-ray, PA, and lateral view.
II. Describe the advantages and disadvantages of this technique for diagnosing a foramen of morgagni hernia.
Advantages
Highly portable.
Exposes patients to minimal ionizing radiation.
Relatively inexpensive imaging modality.
Plain radiography is sensitive for diagnosis.
Disadvantages
Plain radiography is not very specific in diagnosing a foramen of morgagni hernia.
Less adept at guiding treatment compared to companion CT imaging.
III. What are the contraindications for the first-line imaging technique?
No specific contraindications to plain radiography exist. Consent may be required for pregnant patients at some institutions.
IV. What alternative imaging techniques are available?
CT of the chest, abdomen, and/or pelvis with or without PO and IV contrast.
V. Describe the advantages and disadvantages of the alternative techniques for diagnosing foramen of morgagni hernia.
Advantages
CT imaging is the gold standard in diagnosing foramen of morgagni hernia.
CT imaging helps guide treatment.
More sensitive and specific in diagnosing a foramen of morgagni hernia and in detailing and characterizing any secondary complications than plain radiography.
Disadvantages
Exposes patients to ionizing radiation.
Far less portable and more expensive compared to companion plain radiography.
VI. What are the contraindications for the alternative imaging techniques?
May be contraindicated in pregnant patients.
Copyright © 2017, 2014 Decision Support in Medicine, LLC. All rights reserved.
No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
The Cardiology Advisor Articles
- Statins in Patients Older Than 75: A Meta-Analysis of 28 Controlled Trials
- PAH Therapy Guidelines Updated by CHEST Expert Panel
- Missed Diagnosis of New-Onset Systolic Heart Failure Common in Children
- Fish Oil Dietary Supplement Use Examined Among Cardiac Patients
- Guidelines Updated for Treating Pulmonary Arterial Hypertension in Adults
- Societies Release Updated Guidelines for the Management of Atrial Fibrillation
- FDA: Unauthorized INR Test Strips Part of Large Recall
- Does Rivaroxaban Plus Aspirin Prevent Early Coronary Bypass Graft Occlusion?
- Banding Together: How Some Physicians Are Fighting the MOC Program
- Swan-Ganz Thermodilution Catheters Recalled Due to Lumen Reversal
- Safety of Immediate Sildenafil Administration After Mitral Valve Surgery
- Impaired Microvascular Function Predictive of Adverse CV Outcomes in Women
- Coexisting Medical Conditions, Smoking May Explain PTSD-CVD Link
- Nurse Navigators Improve Outcomes Following ACS Hospitalization
- Guidelines Updated for Treating Pulmonary Arterial Hypertension in Adults