ipl-logo

Subcutaneous Emphysema Case Study

900 Words4 Pages

Abstract
Pneumomediastinum (PM) with pneumopericardium and subcutaneous emphysema is an uncommon finding following blunt trauma. Traumatic Pneumomediastinum occurs in 10% of cases of blunt trauma to chest. Most of the cases are due to alveolar rupture and leak of air from the pneumothorax, rest are due to Macklin effect. CT scan is the primary imaging modality to detect pneumomediasinum at an earlier stage that can be life threatening. We present here a case of 45 years old male with alleged history of road traffic accident with fracture first rib who developed pneumomediastinum, pneumopericardium and subcutaneous emphysema due to Macklin effect without associated pneumothorax which resolved spontaneously on conservative management.
KEY WORDS: …show more content…

The majority of traumatic PM results from medial tracking of air from a concomitant pneumothorax. The Macklin effect, of air tracking medially along peribronchial sheaths from alveolar rupture, is responsible for most other cases. 4 When there is fracture of ribs the cause for pneumomediastinum is usually due to tracking of air from pneumothorax. Pneumomediastinum and pneumopericardium due to Macklin effect without pneumothorax in a case of fracture first rib following blunt chest trauma is …show more content…

On examination was found to have crepitus over chest and neck. Chest X ray revealed oblique fracture of left 1st rib with minimal displacement and linear radiolucent areas of air streaks noted in soft tissue neck, pulmonary hilar and left scapular region (Fig1a,b). CT scan was performed immediately. Non-enhanced Axial Sections of CT Neck/Thorax mediastinal window showed presence of air in the mediastinum with extension to neck (Fig2a,b). Non-enhanced Axial Sections of CT thorax lung window showed streaks of air surrounding vessels of neck, thyroid, trachea, oesophagus and ascending aorta with extension of air into pericardium(Fig 3,4) .The patient was put under close observation with symptomatic treatment in ICU for two weeks. After close monitoring for 2 weeks CT Thorax lung showed spontaneous complete resolution of pneumomediastinum, pneumopericardium and subcutaneous emphysema.(Fig

Show More
Related
256 Words | 2 Pages

Thank you for reviewing Ronald Cocks, an 89 year old gentleman with an array of medical comorbidities. Ronald has a history of prior asbestos exposure and is an ex-smoker of approximately 20 pack years. He is quite frail, although still ambulates independently with a 4-wheel frame and is currently living at a retirement village. Ronald was referred to me just prior to Christmas with a two month history of sudden onset voice hoarseness. He was noted to have a 4.5cm left upper lobe cavitatory mass in close proximity to the left upper lobe pulmonary arteries and abutting the left upper lobe pleura.

Read More
606 Words | 3 Pages

Pulmonary: Chest wall symmetric, respirations even and unlabored. Lungs CTA. Cardiac: Sinus tachycardia, NL S1, S2. No murmurs or rubs.

Read More
2175 Words | 9 Pages

The exudative phase unfolds over the first 1 to 7 days after attack of lung injury. Accumulation in the alveoli of excessive fluid, protein and inflammatory cells that have move into the air spaces from the alveolar capillaries. Intrapulmonary shunt develop and blood passing cannot be oxygenated. Alveolar type I and type II cells are spoiled causing surfactant dysfunction. Alveoli become unstable and collapse and fibrotic changes take place.

Read More
1039 Words | 5 Pages

Normally blood entering the right side of the heart stays on the right side (this is low-oxygen blood), and blood on the left side of the heart stays on the left side (this is oxygen-rich blood) which is then pumped to the rest of the body. But in this particular condition when a defect or "hole" is present between the ventricles (or lower chambers), blood from the left side of the heart is forced through the defect to the right side every time the heart beats. It then goes back to the lungs even though it is already rich in oxygen. Because of this, blood that is not yet oxygen-rich can 't get to the lungs. The most common signs and symptoms are trouble eating and gaining weight, breathlessness and easy fatigability in

Read More
807 Words | 4 Pages

The x-ray will look for thickened tissue that is characteristic of fibrotic hardening of the lungs. An echocardiogram may be done to view the heart and look for enlargement or any other abnormalities. A computed tomography (CT) scan may also be done if the chest x-ray is inconclusive in order to get a three-dimensional view of the lungs. In some cases, a biopsy may be taken of the tissue. The veterinarian will put the cat under general anesthesia during this test.

Read More
307 Words | 2 Pages

If Timmy was punched hard enough, he can have fractures on the cartilage structure of the throat, since the cartilage is flexible and not as strong as the bones. If damage is inflicted, by strong hit for example, on the larynx, it begins to swell. If it swells too much, the flow of air can blocked and you start to suffocate. How would this affect his respiratory system?

Read More
1420 Words | 6 Pages

RIce, T. W., & Bernard, G. R. (1998-2023). Institutional Review Board. American Thoracic Society.

Read More
2129 Words | 9 Pages

5. Approach to the diagnosis. 5.1. Is it cardiac or not? 5.2.

Read More
320 Words | 2 Pages

This causes elevated pulmonary capillary pressure which pushes fluid into the interstitial spaces and alveoli (Bickley & Szilagyi, 2013) 2) Dizziness is a concerning symptom as it may mean her pulmonary hypertension is worsening. Insufficient circulation of blood through the pulmonary capillaries can lead to hypoxemia in persons with respiratory or cardiac disease (Porth, 2011). I would have liked to know what this patient’s pulse oximetry was or if she

Read More
433 Words | 2 Pages

The patient has a PMHx of diabetes type II, asthma and is morbidly obese. The patient denies any previous adverse outcomes post anesthesia and has come to the clinic today for a required medical clearance . Upon entering the room, the ARNP noticed the patient has a persistent cough, is short of breath

Read More
1190 Words | 5 Pages

What was the diagnosis? Pleurisy. Now, pleurisy is no big deal. Inflammation of the wall of your lungs, and it will go away. No big deal.

Read More
1075 Words | 5 Pages

Pulmonary edema or congestion happens when the left ventricle of the heart fails. This is simply because the inefficiency of its ventricle to pump effectively causes the blood to back up to the pulmonary capillaries as the pulmonary venous blood rises its pressure into the tissues and alveoli impairing the gas exchange. Pulmonary congestion will be manifested in crackles, difficulty of breathing, frothy pink-tinged sputum and shortness of breath. In addition, the decreased amount of blood ejected from the left side causes ineffective tissue perfusion. This is detrimental to other vital organs such as the kidneys.

Read More
897 Words | 4 Pages

• Follow-up of main bronchial stenosis at the site of anastomosis, post-lung transplantation, and balloon dilatation, the stenosis can be studied sequentially using virtual bronchoscopy instead of with a real bronchoscopic evaluation. • Can give information about the relationship of any bronchial abnormality to surrounding structures, for instance the manubrium sternum in a high tracheal stenosis. • Preplanning and calculation of bronchial stent or balloon size, length and diameter before the procedure is performed. • The advanced uses of virtual bronchoscopy include, assisting a bronchoscopist in localizing and targeting a mediastinal or peripheral lung lesion for needle biopsy, and in the management of pulmonary emphysema with endobronchial valve-type procedures for targeting of the peripheral lung (Ferguson & McLennan, 2005, McAdams, 1998). 8.4 CT PERFUSION

Read More
995 Words | 4 Pages

Acute diaphragmatic hernia following trauma is rare, despite high prevalence of trauma. Up to 5% of trauma patients may suffer traumatic diaphragmatic injury [1,2]. Spontaneous acquired diaphragmatic hernia without any apparent history of trauma is even more rare presentation [3]. Early recognition of spontaneous acquired diaphragmatic hernia is of utmost importance because delay in the diagnosis may result in an increased morbidity and mortality. In this report, we present a patient who was admitted to emergency department with abdominal pain, nausea and constipation for 5days and was diagnosed with spontaneous non-traumatic diaphragmatic

Read More
913 Words | 4 Pages

For the patient's survival, the time duration between injury and initial stabilization is the most crucial period. The word "trauma" refers to a serious or critical bodily injury. Falls and motor vehicle crashes are the most common

Read More

More about Subcutaneous Emphysema Case Study

Related Topics

Open Document