Pulmonology Book

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Pectus Carinatum

Aka: Pectus Carinatum, Pectus Carinatus, Pigeon Breast
  1. Epidemiology
    1. Much less common than Pectus Excavatum
    2. More common in males by ratio of 4:1
  2. Causes and associated conditions
    1. Family History in 30% of cases
    2. Rickets
    3. Marfan's Syndrome
    4. Congenital Heart Disease
    5. Scoliosis (asymmetric thorax)
    6. Poland's Syndrome
  3. Pathophysiology
    1. Softened upper ribs bend forwards
    2. Progresses as child grows
  4. Signs
    1. Opposite of Pectus Excavatum
    2. Narrow thorax with increased anteroposterior diameter
    3. Sternum protrudes from chest like keel of ship
  5. Complications
    1. Significant cosmetic concerns
  6. References
    1. Degowin (1987) Bedside Exam, Macmillan, p. 274
    2. Townsend (2001) Sabiston Surgery, p. 1169-70

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