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34 Possible Causes for Mediastinal Crunch

  • Esophageal Perforation

    Mid-thoracic esophageal perforation presents with subternal or epigastric pain; mediastinal crunch is rarely auscultated. Mackler's triad.[clinicaladvisor.com] Physical Examination: Cardiac: possible Hamman’s crunch. Abdomen: may encounter guarding or rigidity (intra-abdominal rupture).[emdocs.net] Upper thoracic perforation commonly presents with right-sided pleural effusion, but may also be associated with substernal and epigastric pain; audible mediastinal crunch[clinicaladvisor.com]

  • Mediastinal Emphysema

    Physical examination may show respiratory distress, neck crepitus, decreased cardiac dullness, Hamman’s sign (a mediastinal crunching sound that is synchronized with systole[kjim.org]

  • Acute Mediastinitis

    A pericardial crunching sound with systole (Hamman’s sign) is often a late sign.[for-surgeons.com] Hamman's sign (a crunching sound synchronous with cardiac systole, heard over the anterior thorax) is characteristic but not always present.[slideshare.net] About 60% of patients with acute mediastinitis have subcutaneous emphysema or pneumomediastinum.[for-surgeons.com]

  • Mediastinal Abscess

    Auscultation of the heart may reveal a crunching sound. [ 1 ] Differential diagnosis Pulmonary embolism . Myocardial infarction .[patient.info] Spontaneous pneumomediastinum. [ 9 ] Mediastinal tumour and/or superior vena cava syndrome . Cellulitis of the neck. Necrotising fasciitis affecting the neck.[patient.info]

  • Pulmonary Cavitary Tuberculosis

    There was no mediastinal crunch. Classical cavernous type of breathing was present in right infraclavicular area.[lungindia.com]

  • Crack Lung

    crunch) discontinuous neither (heartbeat) crunching, rasping pneumomediastinum , pneumopericardium not available Continued [ edit ] Rales: Small clicking, bubbling, or rattling[en.wikipedia.org] […] friction rub discontinuous low inspiratory and expiratory nonmusical, many repeated rhythmic sounds inflammation of lung linings, lung tumors not available Hamman's sign (or Mediastinal[en.wikipedia.org]

  • Chest Trauma

    . • Dyspnea , Pneumothorax , hemoptysis , Mediastinal crunch {Hamman’s Sign}, Intercostal retractions, Respiratory distress , Stridor. • Chest drain will reveal a large air[slideshare.net]

  • Wound Infection

    crunch (a series of precordial crackles synchronous with the heartbeat, not with respiration), and fever.[journals.lww.com] […] at the surgical site, sternal instability, abnormal incisional drainage (which will be serous if the infection is deep), friable wound edges, abnormal smell, crepitus or mediastinal[journals.lww.com]

  • Traumatic Neck Injury

    crunch (Hamman crunch) Intercostal retractions Decreased breath sounds Hyperresonance to percussion of the contralateral hemithorax, associated with hyperinflation of the[emedicine.medscape.com] […] emphysema Cough Respiratory distress Hemoptysis, usually secondary to a disrupted bronchial artery Tension pneumothorax Continuous air leak persisting after chest tube insertion Mediastinal[emedicine.medscape.com]

  • Pneumopericardium

    Physical examination may show respiratory distress, neck crepitus, decreased cardiac dullness, Hamman’s sign (a mediastinal crunching sound that is synchronized with systole[kjim.org]

Further symptoms