Presentation
Since this type of lesion presents no epithelial wall, we should refer to it as a pseudocyst rather than a cyst. [scielo.br]
Case Presentation A previously healthy 22-year-old man fell from a fifth-floor apartment. [hindawi.com]
Intoxication, if present, was not noted. [reliasmedia.com]
Typically, radiographic manifestations of pulmonary contusion are present within a few hours of the injury. [accesspediatrics.mhmedical.com]
Sinus tachycardia and cardiac dysrhythmia are possible, and hypotension can present in severe cases. [emsworld.com]
Entire Body System
- Collapse
There are several variations of this issue, all of which are referred to as a punctured or collapsed lung. [healthline.com]
Certain medical procedures that deliberately collapse the lung also fall under this category of pneumothorax. Primary spontaneous pneumothorax: this is when the collapsed lung occurs without any particular cause. [symptomfind.com]
It can also show if the lung has collapsed or partially collapsed and can tell if any metallic foreign bodies reside in the chest cavity. Sometimes, there are more things to be looked at. [autoaccident.com]
Chest injuries and disorders include Heart diseases Lung diseases and collapsed lung Pleural disorders Esophagus disorders Broken ribs Thoracic aortic aneurysms Disorders of the mediastinum, the space between the lungs, breastbone, and spine Chest tube [icdlist.com]
- Fever
Five days after admission, the patient developed fever and purulent expectoration. [scielo.br]
Symptomps of Tubercolosis are faintness, cough, fever during the night and having a spot on their Chest X-ray. 3. Find out the foods and medication that helps treat Tubercolosis and other lung diseases. [youtube.com]
A 35-year old female patient, who had been followed with the diagnosis of SLE, diffuse glomerulonephritis and hypertension for six years, admitted to our clinic with the complaints of chill, fever, fatigue and weight loss. [atif.sobiad.com]
They include: Sharp pain when inhaling, coughing, or sneezing Difficulty breathing deeply or a shortness of breath General soreness in a particular area of the chest Swelling in a particular area of the chest Fever It’s possible that these symptoms will [urmc.rochester.edu]
Look for these warning signs: Bluish coloring around nails and lips, which means there’s a lack of oxygen in the blood Chest pain, often when you inhale Cough Fever Fast heart rate Shortness of breath If you notice any symptoms, call your doctor. [webmd.com]
- Military Personnel
personnel at high risk for blast injuries; these garments can prevent a shock wave from being propagated across the chest wall to the lung, and thus protect wearers from blast lung injuries.[53] These garments alternate layers of materials with high [en.wikipedia.org]
Respiratoric
- Pleural Effusion
Post-traumatic infections were defined as positive microbial culture of sputum or pleural effusion. [academic.oup.com]
Atance: Parapneumonic pleural effusion. Accidental insertion of a chest tube into right pulmonary artery. Eur. J. Cardiothorac Surg 2008;34:903 5. C.L Kao, M.S. Lu, J.P. Chang. [ispub.com]
Chest radiograph showed evidence of moderate-severe pleural effusion (Fig. 1). [elsevier.es]
[…] space Diagnosis Respiratory distress Decreased chest wall movement Decreased air entry Dullness to percussion Investigations Chest x-ray – collapse of ipsilateral lung, pleural effusion with air/fluid level in pleural space Treatment High flow oxygen [rch.org.au]
effusion, Pulmonary oedema (inc acute), Pulmonary alveolar haemorrhage#, Bronchospasm, Chronic obstructive pulmonary disease*, Hypoxaemia*, Respiratory tract congestion*, Hypoxia, Pleurisy*, Hiccups, Rhinorrhoea, Dysphonia, Wheezing Last Update: 2017 [mymemory.translated.net]
- Rales
[…] bluish color of the skin and mucous membranes) Dyspnea(painful breathing or difficulty breathing) Rapid breathing and a rapid heart rate are other signs With more severe contusions, breath sounds heard through a stethoscope may be decreased, or rales [slideshare.net]
Auscultation of the chest may reveal fine rales or be normal. Patients should be maintained on continuous pulse oximetry as hypoxia may develop and worsen over time. Chest x-ray is the screening exam of choice. [reliasmedia.com]
Lung auscultation is a non-specific test, as some patients will simply have decreased breath sounds from splinting, while others may present with increased work of breathing, rales, ronchi, and even wheezing. [ahcmedia.com]
[…] breathing or difficulty breathing) is commonly seen,[6] and tolerance for exercise may be lowered.[7] Rapid breathing and a rapid heart rate are other signs.[8][9] With more severe contusions, breath sounds heard through a stethoscope may be decreased, or rales [en.wikipedia.org]
Typically, after spontaneous aeration or aeration following active treatment, rales appeared and persisted for several days, in spite of clinical and roentgenologic evidence of satisfactory aeration and the disappearance of dyspnea and cyanosis. [history.amedd.army.mil]
Gastrointestinal
- Hiccup
[…] düsfoonia, vilisev hingamine English Pulmonary embolism, Pleural effusion, Pulmonary oedema (inc acute), Pulmonary alveolar haemorrhage#, Bronchospasm, Chronic obstructive pulmonary disease*, Hypoxaemia*, Respiratory tract congestion*, Hypoxia, Pleurisy*, Hiccups [mymemory.translated.net]
Other symptoms are nausea, vomiting, dysphagia, constipation, melena, hiccups, or difficulty belching.4,7 Bowel loops or a nasogastric tube in the chest on chest x-ray are classic signs. [reliasmedia.com]
Cardiovascular
- Tachycardia
Sinus tachycardia and cardiac dysrhythmia are possible, and hypotension can present in severe cases. [emsworld.com]
Patients will gradually develop worsening shortness of breath, distended neck veins, tracheal deviation away from the side of the injury, hypoxia, hypotension, tachycardia and eventual death if left untreated. Figure 2 Figure 2. [clinicaladvisor.com]
[…] the exit of the left subclavian artery (∼ 70%) Severity: ranges from intimal lesions to aortic rupture Clinical features Initially often asymptomatic or unspecific findings (e.g., chest pain, dyspnea) In case of rupture: signs of hemorrhagic shock (tachycardia [amboss.com]
His initial ECG demonstrated sinus tachycardia with questionable electric alternans in leads V1and V5 (Figure 1). Figure 1. [ahajournals.org]
Diagnosis Respiratory distress Decreased air entry and dullness to percussion on the left Tachycardia Hypotension If suspected on plain radiography further investigation is required – CT chest, aortogram or trans-oesophageal echocardiogram. [rch.org.au]
- Hypertension
A 35-year old female patient, who had been followed with the diagnosis of SLE, diffuse glomerulonephritis and hypertension for six years, admitted to our clinic with the complaints of chill, fever, fatigue and weight loss. [atif.sobiad.com]
As well, hypertension may occur transiently because the kidney houses hormones and chemicals that help control blood pressure. [medicinenet.com]
Case Report A 68-year-old woman with a history of hypertension, diabetes mellitus, congestive heart failure, and end-stage renal disease had been undergoing hemodialysis regularly for 2 years. [rc.rcjournal.com]
Traumatic PADs usually resolve or remain stable unless associated with pulmonary hypertension, in which case the risk of bleeding can be quite high[1,16]. [vpjournal.net]
Prevalence and Diagnosis of Severe Pulmonary Hypertension in Patients with Chronic Obstructive Pulmonary Disease [On-line information]. Available online at http://www.medscape.com/viewarticle/552204 through http://www.medscape.com. [labtestsonline.org.cn]
- Pulsus Paradoxus
As the tamponade evolves, hypotension and tachycardia will be present, as will a narrowing pulse pressure and possibly pulsus paradoxus (a drop in systolic blood pressure of more than 10 mmHg during inspiration). [emsworld.com]
paradoxus may be absent and tension pneumothorax may mimic tamponade consider possibility in patients who do not respond to usual resuscitation and have a mechanism of injury compatible with tamponade pericardiocentesis blind pericardiocentesis only [aic.cuhk.edu.hk]
Skin
- Subcutaneous Crepitus
Chest examination showed not audible right breath sounds and palpable extensive subcutaneous crepitus. Initial plain chest roentgenogram revealed multiple rib fractures and a collapsed right lung. [jovs.amegroups.com]
- Sweating
English Newly reported adverse reactions, which occurred more frequently in the sildenafil/ epoprostenol group, were ocular hyperaemia, vision blurred, nasal congestion, night sweats, back pain and dry mouth. [mymemory.translated.net]
Neurologic
- Stroke
Injuries to the Aortic Arch Branches Injuries to the common carotid artery may cause neurologic deficit, including stroke. [posterng.netkey.at]
This creates a chain reaction of decreased preload, decreased stroke volume, decreased cardiac output and, ultimately, decreased blood pressure. [emsworld.com]
Bleeding into the pericardium secondary to blunt or penetrating injury Blood may originate from cardiac chamber, a great vessel or from the myocardium in the presence of a myocardial contusion Results in decreased filling of the heart and thus reduced stroke [rch.org.au]
The initial clinical manifestations include thrombotic or embolic stroke, brain abscess and TIA but can also be asymptomatic in non-traumatic cases[13]. [vpjournal.net]
Injuries to the common carotid artery may cause neurologic deficit, including stroke. In patients with thoracic aortic injury, identification of injuries to other branches is important, since it may alter the surgical approach. [pubs.rsna.org]
- Seizure
[…] requiring surgical intervention, transfusion or admission to the intensive care unit have been reported.1 Other reported adverse events are prolonged air leak, acute exacerbation of the underlying interstitial lung disease, transient respiratory failure, seizures [archbronconeumol.org]
Impaired cerebral blood flow may result in neurologic deficits, altered mental status, altered level of consciousness or seizures. 7 Prehospital management— The prehospital treatment of traumatic asphyxia is supportive. [emsworld.com]
Workup
Patients who are stable after initial resuscitation are best served by a further diagnostic workup. [emedicine.medscape.com]
Six months before, an adenocarcinoma of the upper right lobe had been diagnosed during workup for aortic valve stenosis en mitral valve insufficiency, for which she underwent right upper lobectomy (pT1N0M0 adenocarcinoma) followed by an aortic valve replacement [ispub.com]
Given the growing importance of TBC, which might soon be integrated in the routine diagnostic workup of patients with DPLD, it is important to report these severe adverse events attempting to limit them. [archbronconeumol.org]
No further workup is indicated if there is no direct evidence of aortic injury and no mediastinal haematoma on CT [38]. Fig. 13 Traumatic aortic pseudoaneurysm. [insightsimaging.springeropen.com]
The patient needed additional diagnostic imaging as part of his trauma workup, and obtaining central venous access would prove prudent given his labile hemodynamics and because central venous catheters also have important diagnostic utility: the ability [ahajournals.org]
Pleura
- Pleural Effusion
Post-traumatic infections were defined as positive microbial culture of sputum or pleural effusion. [academic.oup.com]
Atance: Parapneumonic pleural effusion. Accidental insertion of a chest tube into right pulmonary artery. Eur. J. Cardiothorac Surg 2008;34:903 5. C.L Kao, M.S. Lu, J.P. Chang. [ispub.com]
Chest radiograph showed evidence of moderate-severe pleural effusion (Fig. 1). [elsevier.es]
[…] space Diagnosis Respiratory distress Decreased chest wall movement Decreased air entry Dullness to percussion Investigations Chest x-ray – collapse of ipsilateral lung, pleural effusion with air/fluid level in pleural space Treatment High flow oxygen [rch.org.au]
effusion, Pulmonary oedema (inc acute), Pulmonary alveolar haemorrhage#, Bronchospasm, Chronic obstructive pulmonary disease*, Hypoxaemia*, Respiratory tract congestion*, Hypoxia, Pleurisy*, Hiccups, Rhinorrhoea, Dysphonia, Wheezing Last Update: 2017 [mymemory.translated.net]
Treatment
Complications: chylothorax, chylopericardium, chylomediastinum Treatment: mostly surgical repair See diaphragmatic rupture for details. [amboss.com]
ECG monitoring High flow oxygen Fluid resuscitation (to increase preload and minimise right ventricular collapse) The optimum treatment for a pericardial tamponade secondary to blunt or penetrating trauma is open surgical drainage in theatre. [rch.org.au]
One perspective is that of those involved in aspects of injury diagnosis and treatment and the other is that of those in the engineering and biologic sciences who discuss mechanical principles and simulations. [books.google.com]
Chest Injury Treatment The treatment of chest injuries begins in the field because rapid treatment at the scene of the accident can save lives. Here are the treatment techniques and pearls to consider: Remove any object in the chest like a knife. [autoaccident.com]
Without proper treatment, complications, such as pneumonia, may result. Treatment will depend on the severity of your injury and other injuries you may also have. Talk with your doctor about the best treatment plan for you. [cancercarewny.com]
Prognosis
[…] a poor prognosis. [ncbi.nlm.nih.gov]
Prognosis The prognosis after corneal laceration depends on the extent of the injury. Factors to consider include but are not limited to depth and length of laceration, location, and degree of scarring. [emedicine.medscape.com]
[…] lung cyst or pneumatoceles) with or without air-fluid level — depends on how much bleeding into laceration Usually subpleural location under point of maximum impact May be single or multiple Treatment Supportive: oxygen, assisted ventilation if needed Prognosis [learningradiology.com]
[…] tear of lung parenchyma General Features Radiographic Findings CT Findings Ultrasonographic Findings Nuclear Medicine Findings Imaging Recommendations General Features Gross Pathologic & Surgical Features Presentation Demographics Natural History & Prognosis [app.statdx.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
References: [1][2][3][4] Blunt chest trauma Chest wall injury Etiology: mostly blunt trauma, pathologic fractures, nonaccidental trauma (child abuse) Clinical features Diagnostics Complications Pneumothorax Hemothorax Especially in the elderly: pain → [amboss.com]
Etiology Lacerations typically result from blunt trauma causing a tear in the skin and underlying tissue. [ncbi.nlm.nih.gov]
Incidence and etiology of community-acquired pneumonia in the elderly in a prospective population-based study. Scandinavian journal of infectious diseases. 2014;46(4):250-9. 9. [verenso.nl]
Major bleeding The most common etiology of major bleeding is vascular injury, especially injury of major pulmonary artery branches. This is a more serious situation that usually leads to conversion. [annalscts.com]
Epidemiology
Epidemiology Frequency United States The United States Eye Injury Registry (USEIR) is a terrific resource for nationwide eye trauma epidemiology, prevention techniques, and educational resources. [emedicine.medscape.com]
Neurology and Neurosurgery Czech and Slovak Ophthalmology Czech and Slovak Psychiatry Czech Geriatric Review Czech Gynaecology Czech Rheumatology Czech Dental Journal Czech Urology Czech-Slovak Dermatology Czecho-Slovak Pathology Czech-Slovak Pediatrics Epidemiology [prolekare.cz]
Journal of clinical epidemiology. 2006;59(9):970-9. 21. Bont J, Hak E, Hoes AW, Macfarlane JT, Verheij TJ. [verenso.nl]
Knowing the etiology and mechanism of the injury is vital in the evaluation of patients with scalp laceration to anticipate and look for associated injuries and their possible complications.[1][2] Epidemiology A study conducted in US emergency departments [ncbi.nlm.nih.gov]
Pathophysiology NA Epidemiology Trauma affects children and adults of all ages. The majority of trauma in the pediatric population is blunt, though urban centers see a larger proportion of penetrating injuries. [clinicaladvisor.com]
Pathophysiology
Pulmonary Laceration Background Trauma to the lung parenchyma Usually results from Stab wounds Gunshot wounds Inward projection of rib fractures Usually NOT a life threatening injury Very few require surgical repair Most stop bleeding spontaneously Pathophysiology [fprmed.com]
Kisson N, Dreyer J, Walia M (1990) Pediatric trauma: differences in pathophysiology, injury patterns and treatment compared with adult trauma. Can Med Assoc J 142:27–34 Google Scholar 13. [link.springer.com]
Post-traumatic pulmonary pseudocyst in the adult: pathophysiology, recognition, and selective management. J Trauma 1989; 29 (10): 1380-5. [ Links ] 5. Calhoon JH. Chest trauma: approach and management. [scielo.br]
Pathophysiology A CT scan of a pneumothorax, a chest injury that may accompany pulmonary laceration A pulmonary laceration can cause air to leak out of the lacerated lung and into the pleural space, if the laceration goes through to it. [findzebra.com]
Interstitial Lung Disease: Pathophysiology and Genetic Predisposition. Medscape General Medicine 2(1), 2000 [On-line information]. Available online at http://www.medscape.com/viewarticle/408750 through http://www.medscape.com. [labtestsonline.org.cn]
Prevention
It is hoped that this book will stimulate more applied research in the field of accidental-injury causation and prevention. Alan M. Nahum John W. [books.google.com]
How do you prevent a pulmonary contusion? Wearing rib pads in contact sport can help prevent this condition. [ksi.uconn.edu]
Ask your healthcare provider how to prevent or treat constipation. Antibiotics help treat or prevent a bacterial infection. Take your medicine as directed. [drugs.com]
Prevention Prevention will depend on the cause, but may include: Wearing appropriate safety equipment when playing contact sports Wearing a seatbelt when in a motor vehicle to help prevent accident-related chest trauma Resources Family Doctor—American [winchesterhospital.org]