Presentation
They may be present in a consolidation or not so are specific but not sensitive and are present within an already highly specific sign. They are punctiform if transverse to the beam and linear if longitudinal. [icmteaching.com]
Question 1b from the second paper of 2000 presents a scenario where a recently intubated obese patient develops left lower lobe collapse, and asks for management options. [derangedphysiology.com]
Hampering of the normal drainage of secretions present in the airways, e.g. in diseases like ciliary dyskinesia syndrome. [steadyhealth.com]
* Compression atelectasis is usually not a major diagnostic problem since the clinical presentation is dominated by underlying disease (pleural effusion, mass). * Loss of alveolar stability. [encyclopedia.lubopitko-bg.com]
Entire Body System
- Collapse
Resorption Atelectasis Basically an obstruction in the airway causes collapse of the airway distally. The mediastinum shifts towards the side of the collapsed lung. 2. [medicowesome.com]
Atelectasis is the incomplete expansion or collapse of parts of or a whole lung. The lung collapses when compressed by pleural effusions, tumours, other space-occupying intrathoracic lesions, or elevation of the diaphragm. [histopathology-india.net]
The term atelectasis signifies collapse of lung tissue. It can range from collapse of a small portion of lung to collapse of the entire lung. [medhelp.org]
Total lung collapse of the left lung due to pressure from a pleural effusion leading to tracheal shift away from the left lung. 25. Lobar collapse Right upper lobe (RUL) collapse #Elevation of the right hilum and the minor fissure 26. [slideshare.net]
Note that the term "atelectasis" is typically used when there is partial collapse, whereas the term " collapsed lung " is typically reserved for when the entire lung is totally collapsed. [radiopaedia.org]
- Pain
The classic signs of acute inflammation are rubor (redness), tumor (swelling), calor (heat), dolor (pain), and functio laesa (impaired function). [books.google.com]
[…] or injury that may make it painful to cough or cause shallow breathing, including stomach pain or rib fracture Smoking Complications A small area of atelectasis, especially in an adult, usually is treatable. [mayoclinic.org]
Top « Symptoms may include : Shortness of breath Chest pain, usually a sharp pain that is worse with cough or deep breathing Cough Fever Top « Causes Numerous medical conditions can cause pleural effusions. [cardiachealth.org]
I couldn't breathe deeply because it hurt too much to do so and I started to breathe shallowly to prevent the pain. My doctor also gave me breathing exercises and those helped. [wisegeek.com]
Pain medication may also be prescribed if breathing is especially uncomfortable. Make an effort to cough to clear any mucus or sputum from the lungs. Change your position, sitting up or moving around as much as your doctor allows. [verywell.com]
Respiratoric
- Pleural Effusion
A Pleural Effusion is a buildup of fluid in the space around your lungs. [cardiachealth.org]
Compressive atelectasis develops with any space-occupying lesion such as pneumothorax, hemothorax, pleural effusion, or abdominal distention. [medical-dictionary.thefreedictionary.com]
Mesothelioma (see Pleural Mesothelioma, [[Pleural Mesothelioma]]) Pleural Effusion (see Pleural Effusion-Transudate, [[Pleural Effusion-Transudate]] and Pleural Effusion-Exudate, [[Pleural Effusion-Exudate]]): loss of contact between the visceral and [mdnxs.com]
[…] by underlying disease (pleural effusion, mass). * Loss of alveolar stability. [encyclopedia.lubopitko-bg.com]
- Cough
If the cough you have had for the last 3 months is a new onset cough, at age 47, there is a possibility that the cough could be related to the atelectasis, more specifically to the cause of the atelectasis, as could your “shortness of breath with activity [medhelp.org]
After surgery, follow instructions for deep breathing, coughing, and turning. Ask for pain medication if discomfort is limiting movement or coughing. [womenscenteroftexas.com]
Deep breathing, coughing, and clapping on chest help people breathe deeply after surgery. Shortness of breath can be addressed by supplementing with oxygen. [home-remedies-for-you.com]
- Dyspnea
Lung diseases associated with secondary PTX CF Pneumonia TB Asthma COPD Catamenial PTX- associated with onset of menses +/- 3 days also intrathoracic endometriosis Symptoms of any pneumothorax Acute onset Ipsilateral chest pain Dyspnea If PTX< 15% of [quizlet.com]
(see Dyspnea, [[Dyspnea]]) Hypoxemia (see Hypoxemia, [[Hypoxemia]]): due to perfusion of collapsed lung (at least in the early stages of atelectasis) -> V/Q mismatch Small Unilateral Pleural Effusion (see Pleural Effusion-Transudate, [[Pleural Effusion-Transudate [mdnxs.com]
Shortness of breath, a.k.a. dyspnea, and chest pain may be indicative of pneumothorax, and prompt medical attention should be sought. [study.com]
- Dry Cough
In pneumothorax, there is dry cough, sudden onset of breathlessness and sharp, stabbing chest pain which increases with inhalation of air. [differencebetween.net]
- Tracheal Deviation
(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. Breath sounds should be decreased in both cases. [forums.studentdoctor.net]
AT of upper lobe or entire lung may cause tracheal air shift or mainstream bronchi to deviate TOWARD the opacity Prophylactic measures against atelectasis After surgery: encourage ventilation by incentive spirometer, coughing, early annular ion. [quizlet.com]
Cardiovascular
- Chest Pain
Top « Symptoms may include : Shortness of breath Chest pain, usually a sharp pain that is worse with cough or deep breathing Cough Fever Top « Causes Numerous medical conditions can cause pleural effusions. [cardiachealth.org]
In pneumothorax, there is dry cough, sudden onset of breathlessness and sharp, stabbing chest pain which increases with inhalation of air. [differencebetween.net]
Common symptoms include: Shortness of breath ( dyspnea ) Wheezing Rapid shallow breathing A persistent, hacking cough A sharp chest pain that worsens with a deep breath, typically on one side of the chest As the condition progresses, the symptoms can [verywell.com]
[…] morphology as follows: linear (plate, band, discoid, subsegmental) atelectasis : a minimal degree of collapse as seen in patients who are not taking deep breaths ("splinting"), such as postoperative patients or patients with rib fracture or pleuritic chest [radiopaedia.org]
Shortness of breath, a.k.a. dyspnea, and chest pain may be indicative of pneumothorax, and prompt medical attention should be sought. [study.com]
- Cyanosis
Assessment findings include: Inspection cough delayed chest expansion on the affected side increased respiratory rate increased pulse possible cyanosis Palpation chest expansion decreased on the affected side tactile fremitus decreased or absent over [rnceus.com]
CLINICAL PRESENTATION Rapidly developing atelectasis: Chest pain on the affected side, Dyspnoea, and Cyanosis. Hypotension, tachycardia, fever, and shock may also occur. [respiratoryupdates.wordpress.com]
Small number of affected alveoli or slowly manifesting atelectasis → asymptomatic or minimal symptoms Large number of affected alveoli or rapid onset → acute dyspnea, chest pain, tachypnea, tachycardia, and cyanosis Dull percussion note, diminished breath [amboss.com]
Caused by O2 toxicity; neonatal or adult respiratory distress syndrome; infection Signs and symptoms of atelectasis Dyspnea Cyanosis Tracheal deviation Uneven chest expansion Locally decreased breath sounds DULLNESS to percussion CXR: opaque lung section [quizlet.com]
Neurologic
- Lethargy
Case Report A 40 year-old male with a history of chronic alcohol abuse summoned emergency medial services complaining of acute weakness and lethargy. [ispub.com]
Workup
WORKUP • Chest x-ray • CT scan and fiberoptic bronchoscopy (selected patients) IMAGING STUDIES • Chest x-ray will confirm diagnosis. • CT scan is useful in patients with suspected endobronchial neoplasm or extrinsic bronchial compression. • Fiberoptic [encyclopedia.lubopitko-bg.com]
A chest X-ray 3 months earlier showed a retrocardiac opacity ( Figure 1 ); the workup was rounded out by a volume CT scan without and after injection of contrast product. [em-consulte.com]
X-Ray
- Atelectasis
CONCLUSIONS: These results demonstrated that IPV was effective and safe in improving compression atelectasis without adverse effects in obese patients. [ncbi.nlm.nih.gov]
Keywords : Carcinoma, Atelectasis, Scanner Ventilatory defects are commensurate with a decrease (atelectasis or collapse) or increase (hyperaeration, air trapping) in pulmonary volume. Lung cancer is the main cause of obstructive atelectasis. [em-consulte.com]
[…] with rib fracture or pleuritic chest pain; this is very common lobar atelectasis : collapse of one or more lobes of a lung. segmental atelectasis : collapse of one or more individual pulmonary segments subsegmental atelectasis round atelectasis : classically [radiopaedia.org]
[…] is lost it results in Relaxation atelectasis. 2) Compression atelectasis: Any space-occupying lesion of the thorax that compresses the lung and force the air out of the alveoli results in compression atelectasis. 3) Adhesive atelectasis: Surfactant deficiency [respiratoryupdates.wordpress.com]
Variations of Atelectasis Atelectasis has several variations, i.e. it can be classified into various types depending on the causes: Obstructive atelectasis Non-obstructive atelectasis Obstructive atelectasis occurs when there is some obstruction between [steadyhealth.com]
Pleura
- Pleural Effusion
A Pleural Effusion is a buildup of fluid in the space around your lungs. [cardiachealth.org]
Compressive atelectasis develops with any space-occupying lesion such as pneumothorax, hemothorax, pleural effusion, or abdominal distention. [medical-dictionary.thefreedictionary.com]
Mesothelioma (see Pleural Mesothelioma, [[Pleural Mesothelioma]]) Pleural Effusion (see Pleural Effusion-Transudate, [[Pleural Effusion-Transudate]] and Pleural Effusion-Exudate, [[Pleural Effusion-Exudate]]): loss of contact between the visceral and [mdnxs.com]
[…] by underlying disease (pleural effusion, mass). * Loss of alveolar stability. [encyclopedia.lubopitko-bg.com]
Treatment
Unique Challenge, Think About, and Emergency Treatment features help in applying the material to real-life situations. [books.google.com]
Treatment focuses on treating the underlying cause and maintaining enough air supply. The collapsed lung usually expands after the underlying cause has been corrected. Mild atelectasis often goes away on its own without treatment. [womenscenteroftexas.com]
Treatment and Prognosis of Atelectasis Treatment of Atelectasis The main purpose of the treatment is to re-fill the air sacs and re-expand the collapsed lung tissue. [steadyhealth.com]
This condition can have a number of causes, and it requires medical treatment to address the dysfunction in the lung and help the patient breathe. [wisegeek.com]
Following this, the doctor will order a number of investigations which may include: Treatment Treatment of atelectasis depends on the underlying cause, with the aim of re-expanding the lung to its normal size. The approaches can vary. [verywell.com]
Prognosis
Read More: Clean Air for a Better Respiratory System Prognosis of Atelectasis The outcome of atelectasis usually depends on the treatment of the underlying cause. [steadyhealth.com]
Thus, supply enough oxygen for the whole body. [ 14, 15 ] Large areas of atelectasis, on the other hand, may be dangerous, with the prognosis depending on the underlying illnesses. [howshealth.com]
[…] acetylcysteine [Mucomyst]) • Recombinant human DNase (dornase alpha) in patients with cystic fibrosis • Bronchodilator therapy in selected patients CHRONIC Rx Chest physiotherapy, humidification of inspired air, frequent nasotracheal suctioning DISPOSITION Prognosis [encyclopedia.lubopitko-bg.com]
Taking these steps can ensure your symptoms do not worsen and give you the most favorable future prognosis: » Keep a daily journal log of your symptoms, including any breathing changes. » Take the help of PEP devices to strengthen breath and lung function [thehealthyapron.com]
Etiology
Etiological Considerations: It is difficult to ascertain the etiology of atelectasis unless there are other clues to suggest an etiology. Mass or nodes in hilum, foreign body (coin in trachea-bronchial tree), lytic lesion in bone. [meddean.luc.edu]
[…] include granulomatous disease, necrotizing pneumonia and radiation fibrosis adhesive atelectasis occurs from surfactant deficiency 2 depending on etiology, this deficiency may either be diffuse throughout the lungs or localized gravity dependent atelectasis [radiopaedia.org]
Etiology and Pathogenesis Overview A variety of processes can result in atelectasis although etiologies can be divided into several basic pathogenic categories. [pathwaymedicine.org]
Etiology Obstructive atelectasis (most common): airway obstruction (e.g., by a foreign body, mucus plug, malignanc y) → nonventilated alveoli → reabsorption of gas in the poststenotic space → lung collapse Nonobstructive atelectasis Compression atelectasis [amboss.com]
PHYSICAL FINDINGS & CLINICAL PRESENTATION • Decreased or absent breath sounds • Abnormal chest percussion • Cough, dyspnea, decreased vocal fremitus and vocal resonance • Diminished chest expansion, tachypnea, tachycardia ETIOLOGY • Mechanical ventilation [encyclopedia.lubopitko-bg.com]
Epidemiology
Epidemiology Definition : collapse of aerated lung Etymology: Greek roots ateles and ektasis = incomplete expansion Etiology Obstructive Atelectasis (Due to Airway Obstruction) (see Obstructive Lung Disease, [[Obstructive Lung Disease]]) Tracheobronchial [mdnxs.com]
References: [2] [6] [7] Differential diagnoses Pulmonary sequestration Definition : rare congenital malformation in which a mass of nonfunctional pulmonary tissue has no connection to the bronchial tree and does not participate in gaseous exchange Epidemiology [amboss.com]
EPIDEMIOLOGY & DEMOGRAPHICS • Occurs frequently in patients receiving mechanical ventilation with higher Fio 2. • Dependent regions of the lung are more prone to atelectasis: they are partially compressed, they are not as well ventilated, and there is [encyclopedia.lubopitko-bg.com]
Epidemiology Mean age is 60 years, but all ages are susceptible. Male = female; no racial or socioeconomic predilection Incidence Rounded atelectasis can be seen in up to 65–70% of asbestos workers. [unboundmedicine.com]
Pathophysiology
A concise, easy-to-understand introduction to the fundamentals, Pathophysiology for the Health Professions, 4th Edition helps you learn to identify disease processes and disorders. [books.google.com]
This is the only kind which is not reversible. return to top Pathophysiology return to top Signs and Symptoms return to top Investigations lab investigations diagnostic imaging return to top Differential Diagnosis return to top Treatments return to top [sharinginhealth.ca]
Its pathophysiology is similar to that described in obstructive mechanisms. (ii) Atelectasis can occur in the absence of obstruction. [slideshare.net]
The student will be able to describe the pathophysiology and morphology of pulmonary edema, thromboembolism, hypertension, Goodpasture's syndrome, and Wegener's granulomatosis. [mhmedical.com]
What is the Pathophysiology of pleural effusions? Fluid enters the pleural space through parietal capillaries and drains into parietal lymphatics. Fluid entry exceeds drainage resulting in pleural effusion. [brainscape.com]
Prevention
15% of the country’s States, the average person of 65 years can gross domestic product. expect to live another 15 years in a fairly Tobacco use is the most serious prevent- good health. Persons of 75 or 85 years old able cause of cancer. [books.google.com]
Prevention Chest surgery remains the predominant cause of atelectasis. To prevent it from occurring after a surgical procedure, doctors will typically advise you to stop smoking first and foremost. [verywell.com]
Prevention Preventing this condition can only be fully avoided by avoiding application of anesthetic, since most surgical patients experience this condition at least temporarily.( 8 ) Parents can prevent some cases of obstructive-type bibasilar atelectasis [thehealthyapron.com]
A Pleural Effusion is often associated with atelectasis (collapse of lung tissue ): Atelectasis is an abnormal condition characterized by the collapse of lung tissue, preventing the respiratory exchange of carbon dioxide and oxygen. [cardiachealth.org]
Other methods that can be used are radiation therapy, laser therapy, surgery, or chemotherapy. 6 Prevention Avoiding the risk factors helps prevent atelectasis. [findatopdoc.com]