Items to be checked for congenital pectus excavatum in children

Patient's question:

I would like to ask, I am currently in Guangming New Area. I want to take my child for a check-up - congenital pectus excavatum. From here, can we complete all the tests in one day?

Doctor's answer:

Pectus excavatum refers to a deformity where the sternum, costal cartilage, and part of the ribs are concave towards the back, forming a funnel-like shape. In most cases of pectus excavatum, the sternum begins to curve downwards from the level of the second or third costal cartilage, reaching its lowest point at the xiphoid process, creating a boat-like or funnel-like deformity. It is a congenital condition that is often familial. The body of the sternum (especially the root of the xiphoid process) and the corresponding third to sixth costal cartilages on both sides curve inward, causing the anterior chest wall to resemble a funnel. The heart is compressed and shifted, and the lungs are restricted in movement due to the chest wall deformity, affecting the child's cardiopulmonary function. Children with pectus excavatum may experience palpitations and shortness of breath after physical activity, are prone to upper respiratory and pulmonary infections, and may even develop heart failure. Symptoms become more apparent after the age of three, including concave chest, protruding abdomen, and poor weight gain and development. Pectus excavatum is often a congenital deformity that not only affects the child but also has adverse impacts, making it essential to seek treatment promptly.

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