Edit concept Question Editor Create issue ticket

Chest Wall Disorder

Chest Wall Disease


Presentation

  • Signs and symptoms: Most cases of pectus present a straightforward diagnosis. “For the most part, this is a problem that is diagnosed visually,” Kaufman says.[nydailynews.com]
  • A variety of pathogenic mechanisms may be considered, as functions of the types of thoracic disorders present.[ncbi.nlm.nih.gov]
  • Clinical Presentation, Signs and Symptoms in Costochondritis Presentation Pain may be specifically localized or diffuse Pain may be aching, sharp, dull, constant, or only with movement Pain severity from minor irritation to escalating pain with autonomic[slideshare.net]
  • The present article discusses the response of the respiratory muscles to mechanical overload.[archbronconeumol.org]
Non-Cardiac Chest Pain
  • Non-Cardiac Chest Pain What is non-cardiac chest pain? Non-cardiac chest pain is chest discomfort that does not arise from a cardiovascular (heart-related) source.[glstva.com]
  • chest pain ; Pain of sternum; Sternal pain ; Tight chest ; Anterior chest -wall pain NOS ICD-10-CM Diagnosis Code R07.89 Other chest pain 2016 2017 2018 2019 Billable/Specific Code Applicable To Anterior chest-wall pain NOS Chest pain on breathing Anterior[icd10data.com]
  • Overview and Symptoms What is non-cardiac chest pain? Non-cardiac chest pain (NCCP) is a term used to describe chest pain that resembles heart pain (also called angina) in patients who do not have heart disease.[patients.gi.org]
  • One of the more frequent causes of non-cardiac chest pain is chest wall pain, or musculoskeletal chest pain.[verywell.com]
  • A recent systematic review of interventions for non-cardiac chest pain identified only two randomised controlled trials (RCTs) 18,19 addressing musculoskeletal causes.[racgp.org.au]
Platypnea
  • Thus, the diaphragm is less effective with the patient in this position, and platypnea may result. Abdominal binders serve to replace lost abdominal muscle tone and should be used whenever tidal volume falls with the patient upright.[what-when-how.com]
Quadriplegia
  • The diaphragm of a supine patient with quadriplegia caused by a spinal cord injury at or below the level of C4 (bottom) contracts and descends normally on inspiration, causing the anterior abdominal wall to protrude.[what-when-how.com]
Spinal Cord Syndrome
  • Spinal cord syndromes Functional Transection Functional transection, most often caused by trauma from motor vehicle or diving accidents, must be at or below the level of the C4 cervical nerve segment if the patient is to survive.[what-when-how.com]

Workup

  • If you’re newly diagnosed or experiencing symptoms, a good question is, “What’s the appropriate workup?” A lot of testing goes into evaluating pectus, including a CT scan, echocardiogram and pulmonary function test.[nydailynews.com]
  • Often the assurance of a negative workup for underlying cardiovascular disease, a heart attack, or other serious illness can lead to a decrease in anxiety symptoms and fear of recurrent attacks. 2006-2019 LoveToKnow, Corp., except where otherwise noted[stress.lovetoknow.com]
  • A thorough history and a CT scan of the thorax usually suffice for the workup of patients with unilateral diaphragmatic paralysis.[what-when-how.com]
  • Bronchial hyperresponsiveness and airflow obstruction are common findings in bronchiectasis, and spirometry is recommended as part of a basic workup.[clinicaladvisor.com]
  • Patients are usually admitted to the coronary care unit (CCU) for observation, further workup, and treatment. Although the function of the heart muscle may be severely affected during the initial phase, recovery is usually complete.[docsopinion.com]
Hyperprolactinemia
  • More about Rare Diseases What is hyperprolactinemia? Hyperprolactinemia is a condition in which a person has higher-than-normal levels of the hormone prolactin in the blood.[hormone.org]
Arterial Oxygen Saturation Increased
  • Mean (SD) arterial oxygen saturation increased in the NIV group ( 2.97 (2.57)%) but not in controls ( 1.12 (2.02)%; p   0.024, 95% CI 0.69 to 7.5).[thorax.bmj.com]
Pleural Adhesions
  • Thoracentesis in the ED - Relative Contraindications Coagulopathy and bleeding disorders Pleural adhesions due to prior history of empyema have a high risk of pneumothorax 70 71.[slideshare.net]

Treatment

  • Specific information on topics of interest to a wide variety of physicians : heart failure and sleep disordered breathing; surgical treatments, including hypoglossal nerve stimulation; oral appliances and the treatment of sleep apnea; home sleep testing[books.google.com]
  • Our vast surgical and medical experience and collaboration with specialists throughout BWH results in highly informed diagnostics and cohesive treatment plans for patients with chest wall disorders.[brighamandwomens.org]
  • Traditional treatment: Doctors have a range of treatment options for pectus, and the severity of the disease can determine what treatment is most appropriate. “For many patients, it’s appropriate just to do nothing,” Kaufman says.[nydailynews.com]
  • Top Treatment and drugs Treatment may involve the supplementation of oxygen and the application of breathing masks. Top[nuh.com.sg]
  • In those cases, treatment can improve a child's physical and emotional well-being. Most kids and teens who have surgery do very well and are happy with the results.[m.rossa-editorial.kidshealth.org]

Prognosis

  • The numbers of fibroblastic foci might be correlated with acute exacerbation or poor prognosis in patients with PPFE, as in those with UIP.[omicsonline.org]
  • , and cell type: the low-grade lymphoid proliferation of polyclonal B-cell origin with EBV implication have a better prognosis than other cell types of higher grade.[radiopaedia.org]
  • The prognosis is not good, and respiratory failure may occur as a terminal event.[what-when-how.com]
  • What is the prognosis for costochondritis and Tietze syndrome? The outlook for costochondritis and Tietze syndrome is generally very good. Most patients respond well to conservative treatments.[medicinenet.com]
  • Outlook Pleurisy is treatable, and the prognosis is good, but complications can arise if it is left untreated.[medicalnewstoday.com]

Etiology

  • Costochondritis No well established risk factors and etiology often unknown 10 11.[slideshare.net]
  • In addition, pulmonary function testing showed both restrictive and obstructive features in the absence of a clear cardiopulmonary etiology.[mdjunction.com]
  • It is considered significant when the distance between the surface of the anterior wall of the thorax and the deepest part of the depression is greater than 3 cm. 21 Its etiology is unknown, although a close relation to the Marfan syndrome has been found[archbronconeumol.org]
  • In 2013, PPFE of unknown etiology (idiopathic PPFE, IPPFE) appeared as one of the forms of idiopathic interstitial pneumonias (IIPs) in the international classification of these diseases [ 2 ].[omicsonline.org]
  • If the patient has never had hemoptysis before, most pulmonologists will perform bronchoscopy to eliminate the possibility of a different etiology, such as lung cancer.[clinicaladvisor.com]

Epidemiology

  • Classification, Natural History, Epidemiology, and Risk Factors of Noncardiac Chest Pain. Dis Mon 2008; 54:593.[verywell.com]
  • In this review the epidemiological and anatomical aspects of idiopathic scoliosis are noted, the pathophysiology and effects of idiopathic scoliosis on respiratory function are described, the pulmonary function testing including lung volumes, respiratory[scoliosisjournal.biomedcentral.com]
  • Chest pain in primary care: Epidemiology and pre-work-up probabilities. Eur J Gen Pract 2009;15:141–46. Bosner S, Becker A, Hani MA, et al.[racgp.org.au]
Sex distribution
Age distribution

Pathophysiology

  • Ankylosing spondylitis is another example of a pathophysiological defect that is similar to that of PPFE.[omicsonline.org]
  • All of these disorders can be grouped into two major categories (which nevertheless have some of the pathophysiology in common): the mechanical syndrome and the neuromuscular or paralytic syndrome.[ncbi.nlm.nih.gov]
  • Pathophysiologic Principles Pleural fluid produced from systemic capillaries at parietal pleura – absorbed into pulmonary capillaries at visceral pleura.[slideshare.net]
  • Following a brief examination of the force these muscles are required to exert in normal conditions, we review the pathophysiology of some characteristic alterations brought about by a) chest wall diseases such as kyphoscoliosis; b) other diseases involving[archbronconeumol.org]
  • […] obstructive pulmonary disorders asthma, chronic bronchitis, emphysema All obstructive pulmonary disorders cause dyspnea and wheezing, increased WOB, V/Q mismatch and decreased forced expiratory volume smoking, second hand smoke Classic sign of emphysema Pathophysiology[quizlet.com]

Prevention

  • Centers for Disease Control and Prevention.[emedicinehealth.com]
  • Efficacy of implantable cardioverter-defibrillators for the prevention of sudden death in patients with hypertrophic cardiomyopathy. N Engl J Med 2000; 342:365-373. ‎ 270 ページ - Hoffman GS, Kerr GS, Leavitt RY et al.[books.google.com]
  • Prevention of pulmonary morbidity for patients with Duchenne muscular dystrophy. Chest 1998 ; 112 : 1024 –8. Bott J , Agent P, Callaghan S. Physiotherapy and nursing during non-invasive ventilation. In: Simonds AK, ed.[thorax.bmj.com]
  • “There’s nothing you can do to prevent pectus. It’s something you’re just born with,” Kaufman says. “It’s important to bear in mind that those who have a severe depression and anyone who has any symptoms at all should be evaluated for treatment.”[nydailynews.com]
  • Prevention Early detection and quick management of the underlying condition make it possible to prevent pleurisy.[medicalnewstoday.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!