Possible Causes for tracheal deviation Atelectasis J Perianesth Nurs. 2015 Dec;30(6):516-527. doi: 10.1016/j.jopan.2014.03.012. Epub 2015 Apr 18. Abstract Atelectasis is a common problem in the perioperative setting, affecting a significant number of surgical patients receiving general anesthesia. Absorption, compression, and reduced surfactant are the three mechanisms[…] [ncbi.nlm.nih.gov] Substernal Goiter Chest radiographs showed tracheal deviation in 79 percent and soft tissue mass in 56 percent. [ncbi.nlm.nih.gov] Preoperative imaging identified tracheal deviation in 69% and tracheal compression in 41% of the cases. [ncbi.nlm.nih.gov] Tracheal deviation was present in 15 cases, causing tracheal compression or stenosis in 14. [ncbi.nlm.nih.gov] 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. [emedicine.medscape.com] deviation Hyper-resonance to percussion Decreased breath sounds In tension pneumothorax: Raised JVP, pulsus paradoxus, marked tracheal deviation, Tachycardia 135, hypotension [oxfordmedicaleducation.com] Note the tracheal deviation to the left. Etiology Simple or complicated pneumothorax is very common in both blunt (38%) and penetrating (64%) pediatric chest injuries. [emedicine.medscape.com] Hemothorax deviation away from pneumothorax - Percussion hyperresonnance - Unilateral absence [symptoma.com] Although tracheal deviation and jugular venous distention are commonly cited [symptoma.com] deviation away from pneumothorax - Percussion hyperresonnance - Unilateral absence of breath sounds, hypotension - Non-radiographic diagnosis - large bore IV needle, 2nd [fprmed.com] Complete collapse of the lung may be followed by tracheal deviation and mediastinal shift. [brooksidepress.org] Follicular Thyroid Carcinoma It caused tracheal deviation to the left and coronal tracheal narrowing. [ncbi.nlm.nih.gov] Plain X-rays of the neck and chest taken in all patients were normal, except in five patients (8%) where compression was seen (deviation of tracheal air column). [elsevier.es] deviation to the left, coronal tracheal narrowing and retrosternal extension. [ncbi.nlm.nih.gov] Pleural Effusion If the effusion is extremely large (more than 1,000 ml), the patient will be in respiratory distress; you also may note tracheal deviation away from the affected side. [journals.lww.com] Large effusion: complete shadowing of the lung with mediastinal shift and tracheal deviation away from the effusion Lateral decubitus view : demonstrates whether fluid is [amboss.com] A large effusion there may cause tracheal deviation away from the effusion. [en.wikipedia.org] Small-Cell Carcinoma of the Lung Metastasis from small-cell carcinoma of the lung (SCCL) has most frequently been found in the lymph nodes, bones, brain, and liver. We have reported a case of metastatic SCCL located in the uveal layer of both eyes (choroidal in one and iridic in the other), an extremely rare occurrence. [ncbi.nlm.nih.gov] Bronchogenic Carcinoma Metastasis of bronchogenic carcinoma to the chest wall and axillary lymphnodes is a rare occurrence. This study reports the case of a patient presenting with chest wall swelling as initial symptom which on evaluation was found to be a lymphnode metastasis. The patient also had axillary lymphnode metastasis on the[…] [ncbi.nlm.nih.gov] Recurrent Small-Cell Carcinoma of the Lung Med Oncol. 2018 Apr 2;35(5):61. doi: 10.1007/s12032-018-1123-6. Author information 1 Division of Respirology, Neurology, and Rheumatology, Department of Internal Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. 2 Division of Respirology, Neurology, and Rheumatology, Department[…] [ncbi.nlm.nih.gov] Bronchial Adenocarcinoma Cancer. 1982 Mar 1;49(5):881-7. Abstract The morphologic distribution of newly synthesized glycoproteins in a bronchioloalveolar carcinoma and in a peripheral bronchial adenocarcinoma with areas of bronchioloalveolar differentiation was determined and compared with bronchiolar epithelium and type II alveolar cells.[…] [ncbi.nlm.nih.gov] Pleurisy From Wikidata Jump to navigation Jump to search pleural disease that is characterized by swelling, due to inflammation of the pleura, the lining of the pleural cavity surrounding the lung or lungs. edit English pleurisy pleural disease that is characterized by swelling, due to inflammation of the pleura, the lining of the[…] [wikidata.org] Thoracic Aortic Aneurysm […] tug), and tracheal deviation. [merckmanuals.com] […] signs include Horner syndrome (miosis, ptosis, anhidrosis) due to compression of sympathetic ganglia, palpable downward pull of the trachea with each cardiac contraction (tracheal [merckmanuals.com] Papillary Thyroid Carcinoma Papillary thyroid carcinoma (PTC) is the most common thyroid malignancy. Simultaneous involvement of the thyroid gland by multiple malignancies, is a rare occurrence. Similarly, primary thyroid lymphomas are also rare. We are reporting a rare case of a dual thyroid malignancy; PTC with secondary thyroid involvement by[…] [ncbi.nlm.nih.gov] Chylothorax This is a case report of chylothorax after esophagectomy for esophageal cancer cured by intranodal lymphangiography in the groin. A 62-year-old man was admitted to our Hospital with dysphagia. The diagnosis was made of advanced esophageal cancer (T3N1M0, stage IIIA). After neoadjuvant chemotherapy, radical[…] [ncbi.nlm.nih.gov] Obstructive Atelectasis deviation ipsilateral shift of the heart [radiopaedia.org] […] displacement of ipsilateral hemidiaphragm crowding of pulmonary vessels and bronchi affected area compensatory hyperinflation of unaffected lung mediastinal shift ipsilateral tracheal [radiopaedia.org] 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. [forums.studentdoctor.net] Caused by O2 toxicity; neonatal or adult respiratory distress syndrome; infection Signs and symptoms of atelectasis Dyspnea Cyanosis Tracheal deviation Uneven chest expansion [quizlet.com] I created a new row for tension pneumothorax, with decreased bs, hyperresonance, no fremitus, tracheal deviation contralateral to lesion, and ipsilateral diaphragm moves down [forums.studentdoctor.net] Empyema Intern Med. 2015;54(24):3189-91. doi: 10.2169/internalmedicine.54.5084. Epub 2015 Dec 15. Author information 1 Department of Surgery, National Hospital Organization Ehime Medical Center, Japan. Abstract Percutaneous transhepatic gallbladder drainage (PTGBD) is an alternative to emergency laparoscopic cholecystectomy in[…] [ncbi.nlm.nih.gov] Pulmonary Tuberculosis Nocardiosis is an opportunistic infection in a patient with underlying immune suppression and organ transplant. Clinical syndromes are varied and ranges from pulmonary, disseminated, cutaneous along with central nervous system involvement. Herein, we report a rare case of disseminated pulmonary nocardiosis with[…] [ncbi.nlm.nih.gov] Pleural Mesothelioma Ann Thorac Surg. 2017 Jun;103(6):e529-e530. doi: 10.1016/j.athoracsur.2017.01.029. Author information 1 Department of Thoracic Surgery, Helios University Hospital Wuppertal, University Witten/Herdecke, Wuppertal, Germany. Electronic address: dr.bolukbas@gmx.de. 2 Department of Thoracic Surgery, Helios University Hospital[…] [ncbi.nlm.nih.gov] Tracheal Disease Near the tracheal bifurcation, it deviates slightly to the right. The subglottis ends 2 cm below the level of the vocal cords. [slideshare.net] […] cartilage Congenital dilatation of trachea Congenital malformation of trachea Congenital stenosis of trachea Congenital tracheocele acquired J39.8 Deviation (in) trachea [icd10data.com] It may be deviated to the right at almost 90 in a normal expiratory film. It only deviates to the left if the aortic arch is on the right side. 8. [slideshare.net] Artificial Pneumothorax Abstract Systemic air embolism occurred in a patient during general anaesthesia, with positive pressure ventilation, following induction of artificial pneumothorax to assist in the diagnosis of a mediastinal mass. A sudden change in vital signs together with neurological abnormalities suggested involvement of both[…] [ncbi.nlm.nih.gov] Traumatic Pneumothorax A chest radiograph was ordered, which showed a large right-sided pneumothorax with tracheal deviation suggestive of a tension pneumothorax. [ncbi.nlm.nih.gov] In a tension pneumothorax, findings may include a displaced point of maximal impulse, tracheal deviation, mediastinal shift, and hemodynamic instability. [journals.lww.com] Note the tracheal deviation to the left. Prognosis If the pneumothorax was an isolated event and treatment was initiated early, the prognosis is excellent. [emedicine.medscape.com] Bronchial Adenoma Abstract Diagnostic and therapeutic problems in a patient with ectopic ACTH syndrome caused by a malignant bronchial adenoma are discussed. Persistent Cushing's syndrome was present following apparent total adrenalectomy, but radioactive scanning with 131I-19-iodocholesterol showed the presence of residual adrenal[…] [ncbi.nlm.nih.gov] Iatrogenic Pneumothorax Clinical signs of tension pneumothorax include tracheal deviation, hyperresonance, and hypotension. [aneskey.com] A tension pneumothorax additionally presents with distended neck veins, tracheal deviation, and hemodynamic instability. Both should be suspected on clinical evaluation. [amboss.com] Tracheal deviation (the trachea is skewed away from the side of the tension pneumothorax) signifies that a mediastinal shift has occurred and is an ominous sign. [teleflex.com] Thyroid Gland Disorder The thyroid (from the Greek word for "shield", after its shape) is one of the larger endocrine glands in the body. It is a double-lobed structure located in the neck and produces hormones, principally thyroxine (T4) and triiodothyronine (T3), that regulate the rate of metabolism and affect the growth and rate of[…] [dmoztools.net] Malignant Pleural Effusion BACKGROUND: Malignant pleural effusion (MPE) is associated with poor prognosis and it often impinges upon quality of life; effective and efficient management is desirable. Combining pleuroscopic pleurodesis (PP) with a tunneled pleural catheter (TPC) could minimize hospitalization, effect rapid pleurodesis in most[…] [ncbi.nlm.nih.gov] Nontoxic Goiter […] compression or deviation should undergo awake, fiberoptic intubation • Relief of local compressive symptoms • Diagnostic to rule out cancer in areas of hardness or rapid [accesssurgery.mhmedical.com] A chest x-ray is useful in assessing retrosternal goiter and if there any tracheal deviation. [statpearls.com] deviation, in the setting of a substernal goiter • As the goiter persists, nodules can develop • Thyroid malignancy or lymphoma • Acute suppurative thyroiditis • Silent thyroiditis [accesssurgery.mhmedical.com] Goiter Chest radiography (Panel A) showed tracheal deviation (arrows). [nejm.org] deviation. [intechopen.com] A chest x-ray is useful in assessing retrosternal goiter and if there any tracheal deviation. [ncbi.nlm.nih.gov] Chest Trauma Signs: decreased AE, hyper resonance, hyperexpansion, decreased movement of the affected side, tracheal deviation, tachycardia, low or falling O2 saturations. [pch.health.wa.gov.au] Presenting clinical findings include absent breath sounds ipsilateral to the PTX, tracheal deviation opposite to the PTX, crepitus and jugular venous distension. [saem.org] Thoracic injuries are identified by primary survey signs: tachypnea, respiratory distress, hypoxia, tracheal deviation, breath sounds, percussion abnormalities, and chest [saem.org] Acute Bronchitis deviation.[2] Pneumonia[edit] The symptoms of pneumonia are fever, productive cough, shortness of breath, and pleuritic chest pain.[2] Inspiratory crackles may be heard on [en.wikipedia.org] deviation, altered mental status, unstable dysrhythmia, stridor, intercostal indrawing, cyanosis, tripod positioning, pronounced use of accessory muscles (sternocleidomastoid [en.wikipedia.org] […] acute onset and shortness of breath not improved with oxygen.[2] Physical findings may include absent breath sounds on one side of the chest, jugular venous distension, and tracheal [en.wikipedia.org]
