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    Pectus Carinatum, (Pigeon Chest) A Simple Guide To The Condition, Treatment And Related Conditions
    Pectus Carinatum, (Pigeon Chest) A Simple Guide To The Condition, Treatment And Related Conditions
    Pectus Carinatum, (Pigeon Chest) A Simple Guide To The Condition, Treatment And Related Conditions
    Ebook72 pages39 minutes

    Pectus Carinatum, (Pigeon Chest) A Simple Guide To The Condition, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Pectus carinatum or Pigeon Chest is a deformity of the chest characterized by a protrusion of the sternum and ribs.
    In this condition the sternum is raised (carina = keel).
    It is a condition where there is a protrusion of the chest over the sternum often described as giving the person a bird-like appearance.
    It is the opposite of pectus excavatum.
    Pectus carinatum may occur as a single abnormality or in association with other genetic disorders or syndromes.
    The condition causes the sternum to protrude with a narrow depression along the sides of the chest.
    This gives the chest a bowed-out appearance similar to that of a pigeon.
    People with pectus carinatum generally develop normal hearts and lungs but the deformity may prevent these from functioning optimally.
    It used to be associated with rickets.
    Nowadays there is usually an associated history of severe asthma in childhood sometimes with a ventricular septal defect (VSD).
    20% of patients have an associated scoliosis.
    There is some evidence that pectus carinatum may prevent complete expiration of air from the lungs in children.
    These young people may have a decrease in stamina even if they do not realize it.
    Pectus deformities can have a significant psychological impact on the children.
    Some children live happily with pectus carinatum especially if it is mild.
    For others the shape of the chest can damage their self-esteem and self-confidence possibly affecting social communication with others.
    The most common cause for pectus carinatum seems to be in the 11-14 year old pubertal male who is undergoing a growth spurt
    The second most common is from birth.
    It is evident in newborns as a rounded chest and as they reach 2 or 3 years old the sternum begins to grow outwardly even more.
    The least common way is post surgically after open heart surgery.
    Some patients develop a rigid chest wall resulting in reduced vital capacity and symptoms of:
    1. Dyspnea,
    2. Exertional tachypnea
    3. Reduced endurance
    Physical examination can diagnose the condition.
    Electrocardiography and echocardiography may be needed to rule out cardiac abnormalities and assess cardiac function.
    Pulmonary function testing may be useful to determine the impact of the deformity on the performance of the heart and lungs.
    CT scanning may be helpful
    Many patients have a mild deformity with no associated morbidity requiring treatment.
    A brace may be used to treat children and young adolescents by suppressing the growth of the protrusion.
    If there is significant pulmonary or cardiac dysfunction, open surgical repair is performed.

    TABLE OF CONTENT
    Introduction
    Chapter 1 Pectus Carinatum
    Chapter 2 More Facts of Pectus Carinatum
    Chapter 3 Treatment of Pectus Carinatum
    Chapter 4 Kyphoscoliosis
    Chapter 5 Scoliosis
    Chapter 6 Kyphosis
    Chapter 7 Costochondrosis
    Chapter 8 Pectus Excavatum
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateOct 21, 2016
    ISBN9781370768196
    Pectus Carinatum, (Pigeon Chest) A Simple Guide To The Condition, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Pectus Carinatum, (Pigeon Chest) A Simple Guide To The Condition, Treatment And Related Conditions - Kenneth Kee

      Pectus

      Carinatum,

      (Pigeon Chest)

      A

      Simple

      Guide

      To

      The Condition,

      Treatment

      And

      Related Conditions

      by

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2014 Smashwords Edition

      Published By Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Pectus Carinatum (Pigeon Chest)and its Treatments and Related Diseases or in vernacular terms

      (What You Need to treat Pectus Carinatum)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      Ode to Pectus Carinatum

      Pectus carinatum is the abnormal protrusion at the sternum

      The chest in affected children has a protrusion appearance

      It can occur in families through inheritance

      A few genetic syndromes are associated with it such as Marfans

      Usually there are no symptoms except for the sternal protrusion

      Some children may have decreased breathing function

      The most important test is the X-ray studies

      Pulmonary and cardiac tests will determine the severity

      CT scan and MRI of the chest will then confirm the necessity

      Whether the affected child has the need for surgery

      Pulmonary and cardiac impairments will decide the treatment

      Mild pectus carinatum cases do not require any adjustment

      Mild pectus carinatum will just require physiotherapy

      Moderate protrusion may be suppressed with chest brace

      Severe pectus carinatum may require Endoscopic resection

      Of costal cartilage with a sternal osteotomy implantation

      -An original poem by Kenneth Kee

      Interesting Tips about the Pectus Carinatum

      A Healthy Lifestyle

      1. Take a well Balanced Diet

      2. Treatment depends on the cause of the disorder:

      Many patients have a mild deformity with no associated morbidity requiring treatment.

      A customized chest-wall brace may be used to treat children and young adolescents by suppressing the growth of the protrusion.

      Direct pressure on the protruding area of the chest by the brace produces excellent outcomes.

      Willingness to wear the brace as required is essential for the success of this treatment approach.

      The brace consists of front and back compression plates that are anchored to aluminum bars.

      These bars are bound together by a tightening mechanism which varies from brace to brace.

      This device is easily hidden under clothing and must be worn from 14 to 24 hours a day.

      If there is significant pulmonary or cardiac dysfunction, open surgical repair is performed.

      There have been some reports of improved exercise ability and improved lung perfusion scans after surgery.

      3. Keep bones and body strong

      Bone marrow produces our blood

      Eat foods rich in calcium like yogurt, cheese,

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