Presentation
Reactive airways disease, in particular exercise-induced asthma, could present with chest pain and shortness of breath after exercise. Wheezing does not have to be present. [aafp.org]
Like all materials presented on this site, this paper is presented for information only. It should not be considered medical advice or treatment. [thoracics.org]
When extensive subcutaneous and mediastinal gas is present, airway compression may also occur. [emedicine.medscape.com]
Two days after undergoing PFT, the patient presented to the emergency room with significantly worsened dyspnea. [ncbi.nlm.nih.gov]
On physical examination, crepitus (subcutaneous emphysema) is commonly present in the chest wall or neck. [clinicaladvisor.com]
Entire Body System
- Weakness
Ablation of weak emphysematous visceral pleura by an ultrasonically activated device for spontaneous pneumothorax. Interact CardioVasc Thorac Surg (2011) 12(6): 908-911. [thoracics.org]
Bloomberg, [3] preexisting weakness of either the alveolar or bronchial wall exists. The increased intrapulmonary pressure because of excessive and prolonged coughing causes rupture at a weakened point allowing escape of air in the tissue. [ijhas.in]
Gas probably enters the pericardium along the venous sheaths, in which the collagenous support of the pericardial reflections is weak 12 ). Most commonly, patients present with chest pain exacerbated by deep breath and cough 13 ). [kjim.org]
Specifically, victims may experience: dizziness, blurred vision, disorientation, personality change or decreased level of consciousness, paralysis or weakness, bloody froth from the mouth or nose, convulsions, shock, unconsciousness and respiratory arrest [dtmag.com]
Anxiety, increased PaCO 2, restlessness, confusion, weakness, anorexia, hypoxemia, and respiratory failure are common in advanced cases. [medical-dictionary.thefreedictionary.com]
- Surgical Procedure
Correspondence to: ABSTRACT : Third molar surgery is the most common surgical procedure in the oral cavity. [scielo.conicyt.cl]
procedures but are the surgical approaches or techniques used to gain entry into the chest. [thoracics.org]
Another surgical procedure used for emphysema patients is lung transplantation. Transplantation may involve one or both lungs. However, it is a risky and expensive procedure, and donor organs may not be available. [medical-dictionary.thefreedictionary.com]
- Severe Pain
CASE A 20-year-old male was admitted to the hospital with acute respiratory distress due to severe pain in the neck and chest during inspiration after having a spontaneous cough when he had been drinking a cup of coffee. [kjim.org]
Respiratoric
- Pneumonia
Pneumonia Pneumonia is an infection of the air sacs, usually caused by bacteria. Symptoms including coughing up mucus, chest pain and shortness of breath are common and may come on quickly. [hopepaige.com]
Gradual occlusion of a bronchus leads to lipid pneumonia, chronic organizing pneumonia, and bronchiectasis, rather than simple collapse. [histopathology-india.net]
Pulmonary infection - eg group B beta-haemolytic streptococcal pneumonia. Pulmonary haemorrhage. Meconium aspiration pneumonia. Oxygen toxicity along with pressure or volume trauma to the lungs. [patient.info]
Pneumomediastinum and pneumothorax as presenting signs in severe Mycoplasma pneumoniae pneumonia. Pediatr Radiol. 2007 Dec. 37(12):1286-8. [Medline]. Megremis S, Stefanaki S, Tsekoura T, Tsilimigaki A. [emedicine.medscape.com]
It is also a prominent lesion in bovine atypical interstitial pneumonia. It is always secondary to a primary lesion which effectively traps an excessive amount of air in the alveoli. [medical-dictionary.thefreedictionary.com]
- Pulmonary Disorder
Floyer was studying pulmonary (lung) disorders and described the characteristic prolonged expiration and progressive nature of emphysema. [humanillnesses.com]
These two diseases are often referred to as one disorder called chronic obstructive pulmonary disease (COPD). Emphysema is most common among people aged 50 and older. [medical-dictionary.thefreedictionary.com]
- Pleural Effusion
The lung collapses when compressed by pleural effusions, tumours, other space-occupying intrathoracic lesions, or elevation of the diaphragm. [histopathology-india.net]
Computed tomography (thorax) revealed the presence of pneumomediastinum with bilateral subcutaneous emphysema; trachea and main bronchi normal; no pleural effusion with normal underlying lung parenchyma [Figure 1], [Figure 2] and [Figure 3]. [mjdrdypu.org]
As discussed in previous articles, pleurodesis can also be used for the treatment of pleural effusions. Sepehripour, Nasir and Shah (2011). [thoracics.org]
- Respiratory Disorders
Tap into the fresh perspectives of new editors who provide extensive updates throughout, particularly on genetic and respiratory disorders. [books.google.com]
ICD-10-CM Codes › J00-J99 Diseases of the respiratory system › J40-J47 Chronic lower respiratory diseases › J43- Emphysema › Emphysema, unspecified 2016 2017 2018 2019 Billable/Specific Code J43.9 is a billable/specific ICD-10-CM code that can be used [icd10data.com]
Cardiovascular
- Chest Pain
Patients may present with sudden, severe, tearing abdominal or back pain. Radiographic findings may include mediastinal widening. Atypical chest pain is a diagnosis of exclusion. In this case, there is a clear diagnosis based on chest radiography. [aafp.org]
There was also no personal history of cyanosis, fever, chest pain, breathlessness, orthopnea, and paroxysmal nocturnal dyspnea. [mjdrdypu.org]
Development of chest pain or sudden worsening of asthma in a patient should prompt a search for the appearance of pneumomediastium. [ispub.com]
A 30 year old man presented 8 hours after smoking crack with severe chest pain and coughing. His chest radiograph showed perihilar and lower zone interstitial infiltrates and a pneumomediastinum. Computed tomography (CT) was performed. [thorax.bmj.com]
Spontaneous pneumomediasinum as a cause of neck pain, dysphagia and chest pain. Arch Intern Med 144:392–3931984. 8. Manco JC, Adler RH, Taheri SA. [kjim.org]
Face, Head & Neck
- Neck Swelling
The patient may remain asymptomatic or may have symptoms such as chest pain, dyspnea, dysphagia, dysphonia, coughing, and/or neck swelling. Our patient had neck swelling and dysphagia after coughing. [mjdrdypu.org]
Neurologic
- Stroke
Keep current with the latest developments in palliative care, mass casualty/epidemic disease, acute respiratory failure, non-invasive ventilation, neurocritical care, neuroimaging, hypoxic-ischemic encephalopathy, stroke and intracerebral hemorrhage, [books.google.com]
In most cases, however, the onset of symptoms is sudden (within one minute of surfacing), dramatic and may appear stroke-like. [dtmag.com]
Air bubbles lodging in the brain may cause loss of consciousness, fits or confusion, a pattern of symptoms similar to a "cerebral stroke". This is called Cerebral Arterial Gas Embolism or CAGE. [cfua.org]
Workup
Thus, patients without (1) fever >38 °C; (2) oxygen desaturation Thus, a better understanding of this condition would have avoided unnecessary irradiation of this young woman (the only workup the patient needed was a simple Chest X-ray Study). [link.springer.com]
Pleura
- Pleural Effusion
The lung collapses when compressed by pleural effusions, tumours, other space-occupying intrathoracic lesions, or elevation of the diaphragm. [histopathology-india.net]
Computed tomography (thorax) revealed the presence of pneumomediastinum with bilateral subcutaneous emphysema; trachea and main bronchi normal; no pleural effusion with normal underlying lung parenchyma [Figure 1], [Figure 2] and [Figure 3]. [mjdrdypu.org]
As discussed in previous articles, pleurodesis can also be used for the treatment of pleural effusions. Sepehripour, Nasir and Shah (2011). [thoracics.org]
Treatment
Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual. [books.google.com]
Aerosol treatments. These treatments may involve solutions of saline, often mixed with a bronchodilator, which are then inhaled as an aerosol. The aerosols thin and loosen secretions. [medical-dictionary.thefreedictionary.com]
Without treatment, the infant will die within a few days after birth, but if oxygen can be provided, and the infant receives modern treatment in a neonatal intensive care unit, complete recovery with no after-effects can be expected. [healthofchildren.com]
Prognosis
The prognosis is much better for babies weighing over 1500 g. Prevention Antenatal corticosteroids (dexamethasone) accelerate fetal surfactant production and lung maturation. [patient.info]
Overall, the prognosis for patients with emphysema is poor, with a survival rate for all those with COPD of four years, and even less for emphysema. [medical-dictionary.thefreedictionary.com]
Prognosis If an infant born with RDS is not promptly treated, lack of an adequate oxygen supply will damage the body's organs and eventually cause them to stop functioning altogether. Death is the result. [healthofchildren.com]
Prognosis Up to 50% of patients who suffer from a pneumothorax will have another or a recurring pneumothorax. However, there are no long-term complications after successful treatment. [physio-pedia.com]
Etiology
Pneumomediastinum mainly affects previously healthy young men. 6 Pulmonary alveolar rupture is the most common etiology. [aafp.org]
Patients with secondary causes of pneumomediastinum usually present with a history that readily suggests an etiology of prior trauma or procedural instrumentation. [clinicaladvisor.com]
Etiologies of spontaneous pneumomediastinum in children of different ages. Pediatr Neonatol. 2009 Oct. 50(5):190-5. [Medline]. Haam SJ, Lee JG, Kim DJ, Chung KY, Park IK. [emedicine.medscape.com]
Joannides M, Tsoulsos GD: The etiology of interstitial and mediastinal emphysema. Arch Surg 1930; 21:333-339. 11. [ispub.com]
Wintermark M, Schnyder P (2001) The Macklin effect: a frequent etiology for pneumomediastinum in severe blunt chest trauma. Chest 120:543–547 CrossRef PubMed Google Scholar 4. [link.springer.com]
Epidemiology
LeFlore PhD, RN, NNP-BC, CPNP-AC & PC, ANEF Page 2 Left-sided PIE Epidemiology Increased incidence Resuscitation at birth Respiratory distress syndrome Meconium aspiration syndrome Pulmonary hypoplasia Treatment with mechanical ventilation Decreased incidence [elearn.uta.edu]
Epidemiology The incidence and severity are related inversely to the gestational age of the infant. It affects approximately one half of infants born at 28-32 weeks of gestation. It may (rarely) occur at term. [patient.info]
The cause or associated trigger was "idiopathic" in 33%. [47] Epidemiology Frequency United States The epidemiology of pneumomediastinum reflects that of the associated disease states, when present. [emedicine.medscape.com]
Pathophysiology
History and etymology The pathophysiologic process was first proposed by C C Macklin in 1939 2. Promoted articles (advertising) [radiopaedia.org]
Resuscitation at birth Respiratory distress syndrome Meconium aspiration syndrome Pulmonary hypoplasia Treatment with mechanical ventilation Decreased incidence Ventilation strategies that minimize barotrauma and volutrauma Surfactant replacement therapy Pathophysiology [elearn.uta.edu]
The pathophysiology was demonstrated by Macklin in animal studies 4 ). [kjim.org]
The specific pathophysiology and manifestations vary depending on cause. [merckmanuals.com]
Pneumomediastinum in pregnancy: Two case reports and a review of the literature, pathophysiology, and management. Obstet Gynecol 1984;64:39S-43. [ PUBMED ] 4. Yellin A, Gapany-Gapanavicius M, Lieberman Y. [mjdrdypu.org]
Prevention
The results confirm the intimate relationship of pulmonary barotrauma, as reflected by the occurrence of alveolar rupture during positive pressure inflation of the lungs, to the subsequent development of bronchopulmonary dysplasia and that prevention [ncbi.nlm.nih.gov]
Measurement of C-reactive protein for the targeting of statin therapy in the primary prevention of acute coronary events. الصفحة 254 - At constant temperature, the volume of a gas is inversely proportional to the pressure upon it. [books.google.com]
The amount of atelectasis, pulmonary congestion or obstruction that prevents expansion of lung is clinically not quantitatively measurable, so that no exact rule for time and pressures can be established that will be completely safe. [pediatrics.aappublications.org]
Prevention of injury to the cervical fascia during facial bone contouring surgery should be the first priority. [e-aps.org]
How Can Emphysema Be Prevented? Because the damage that emphysema does to the lungs cannot be undone, it is especially important to try to prevent this disease from developing in the first place. [humanillnesses.com]