83 year old female presents to the ED with left hip fracture. She has no significant PMHx. takes an aspirin daily, EKG is normal. Chest Xray reveals an elevated right hemidiaphragm. What do I tell the ortho resident consulting me about this isolated finding? . Diaprhagmatic Paralysis.
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The Significance to the Medicine
Phrenic nerve cooling seen after cardiac surgery
Intubation for surgery probably from neck hyperextension
Other causes are very rare and more common in Bilateral diaphragmatic paralysis, these inclued :spinal cord transection, Multiple sclerosis,Guillain-Barre Syndrom,Phrenic nerve dysfunction,throid dysfunction,Malnutrion, Acid maltase deficiency, CTD, AmyloidosisDifferential diagnosis of elevated hemidiaphragm