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62 Possible Causes for Mediastinal Shift, Tracheal Deviation

  • Obstructive Atelectasis

    deviation ipsilateral shift of the heart[] Chest X-ray revealed atelectasis of the right upper lobe (RUL) with ipsilateral mediastinal shift ( Fig. 1 ). X-ray on admission was normal.[] shift") potential causes of resorptive atelectasis include obstructing neoplasms, mucous plugging in asthmatics or critically ill patients and foreign body aspiration resorptive[]

  • Artificial Pneumothorax

    Abstract To determine the presence of chest wall and mediastinal invasion by lung cancer and to establish the origin of chest tumors, we studied 12 patients with intrathoracic tumors by using chest CT combined with artificial pneumothorax. Six patients had primary lung cancer, two had metastases, and one each had[…][]

  • Malignant Pleural Effusion

    A patient presented to the emergency department with a malignant pleural effusion associated with shortness of breath, and radiographic evidence of mediastinal shift and hypotension[] Chest radiograph reveals right upper lobe collapse and a moderate sized right-sided pleural effusion with no mediastinal shift.[] Such a situation may be suggested by lack of mediastinal shift on perioperative radiographs or may be seen only at surgery.[]

  • Pleural Effusion

    A 13-year-old boy with no risk factors for lung cancer presented with a massive left-sided pleural effusion and a mediastinal shift on chest radiography and computed tomography[] Large effusion: complete shadowing of the lung with mediastinal shift and tracheal deviation away from the effusion Lateral decubitus view : demonstrates whether fluid is[] shift 3000mL opacification of hemithorax contralateral mediastinal shift PLEURAL FLUID Things to put on the lab form: Protein LDH Glucose pH WCC Cytology Amylase HCT Gram[]

  • Atelectasis

    After 2 days ceftriaxone sodium administration, her chest radiograph revealed a rightward mediastinal shift caused by atelectasis of the upper portion of the right lung.[] shift") potential causes of resorptive atelectasis include obstructing neoplasms, mucous plugging in asthmatics or critically ill patients and foreign body aspiration resorptive[] This effect can lead to an elevated diaphragm and mediastinal shift to the affected side. Treatment depends on the underlying cause.[]

  • Pneumothorax

    Note the tracheal deviation to the left. Prognosis If the pneumothorax was an isolated event and treatment was initiated early, the prognosis is excellent.[] Large pneumothorax with mediastinal shift 17. Large pneumothorax with mediastinal shift 18. Tension Pneumothorax 19. Tension pneumothorax 20. Tension pneumothorax 21.[] deviation Hyper-resonance to percussion Decreased breath sounds In tension pneumothorax: Raised JVP, pulsus paradoxus, marked tracheal deviation, Tachycardia 135, hypotension[]

  • Compression Atelectasis

    (I've seen probably 2 dozen spontaneous pneumothoraces, and none of them had tracheal deviation) Yes, resonance should be increased on the affected side in both cases.[] Mediastinal Shift  Usually greatest in area of greatest loss of volume  Upper lobe, shift of upper trachea Signs of Atelectasis Compensatory Overinflation  With larger[] Caused by O2 toxicity; neonatal or adult respiratory distress syndrome; infection Signs and symptoms of atelectasis Dyspnea Cyanosis Tracheal deviation Uneven chest expansion[]

  • Hemothorax

    deviation away from pneumothorax - Percussion hyperresonnance - Unilateral absence [] Although tracheal deviation and jugular venous distention are commonly cited[] Complete collapse of the lung may be followed by tracheal deviation and mediastinal shift.[] […] increased chest diameter on the affected side CXR findings for pneumothorax increased translucency on the affected side (avascular-no vascular markings) mediastinal shift[]

  • Tension Pneumothorax

    However, the classic physical examination findings of tracheal deviation and distended neck veins are poorly sensitive in the diagnosis of tension pneumothorax.[] Additional findings include severe respiratory distress, tracheal deviation away from the affected side, hypotension, and jugular venous distention.[] Signs Unilateral absent breath sounds Hyperresonant chest to percussion Cyanosis Respiratory distress Tachycardia Hypotension Tracheal deviation to contralateral side Neck[]

  • Chylothorax

    In the case of the female infant, the bilateral hydrothorax, more on the left with mediastinal shift, was discovered at 24 weeks' gestation.[] shift with respiratory failure, decreased venous return with mental cardiocirculatorii , caused by loss of protein metabolism, and fat-soluble vitamins, which can lead to[] […] disorders by: pulmonary compression, pulmonary collapse, leading to decreased ventilation and perfusion and subsequently with hypoxemia by rights-are left, contralateral mediastinal[]

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