1/53. Contusion of lungs.A 16 years old male with history of beating by army personnel was admitted in the hospital with the complaints of chest pain and breathlessness. After about 5 hours of admission, the patient died in spite of treatment with analgesics, antibiotics, fluids and oxygen inhalation. The autopsy report showed multiple bruises on different body parts and there were contusions on the lungs showing impression of rib patterns. Histological examination showed alveoli filled with blood and cellular infiltrate in interalveolar and interstitial spaces.- - - - - - - - - - ranking = 1keywords = chest, chest pain (Clic here for more details about this article) |
2/53. Cardiac contusion: two case vignettes.When patients with blunt chest trauma and suspected cardiac contusion are brought to the emergency department, focus on detecting subtle signs of myocardial dysfunction. Obtain the important first EKG, monitor for arrhythmia development, and assess for signs of failure of the right side of the heart.- - - - - - - - - - ranking = 0.89199175932156keywords = chest (Clic here for more details about this article) |
3/53. Late cardiac arrhythmias after blunt chest trauma.OBJECTIVE: case reports of two patients who developed fatal cardiac arrhythmias several days after blunt chest trauma. DESIGN: case reports. SETTING: Surgical intensive care unit of a university hospital. patients: A 23-year-old man and a 9-year-old girl with blunt chest trauma and multiple further injuries following car crashes were transferred to our institution. Although ECG on admission was normal, both patients developed fatal cardiac arrhythmias after 6 and 4 days, respectively. In both patients, post-mortem analysis confirmed myocardial contusion without coronary artery lesions. Histological findings included severe interstitial oedema, haemorrhages and infiltration of lymphocytes and neutrophils, fresh myocardial necrosis and fatty degeneration. CONCLUSION: Blunt chest trauma with myocardial contusion may lead to fatal cardiac arrhythmias even after several days, particularly when other severe injuries are present. Thus, a normal ECG on admission and absence of cardiac arrhythmias during the first 24 h of intensive care treatment do not necessarily exclude the occurrence of life-threatening arrhythmias in the further course.- - - - - - - - - - ranking = 6.2439423152509keywords = chest (Clic here for more details about this article) |
4/53. Blunt chest trauma: review of selected pulmonary injuries focusing on pulmonary contusion.Pulmonary injuries resulting from blunt chest trauma remain a common clinical entity for critical care and emergency nurses. In this article, the epidemiology and mechanism of injury most often observed in patients with blunt chest trauma are reviewed. Selected pulmonary injuries are discussed in terms of mechanism of injuries, assessment and diagnostic modalities, standard therapies, and cutting-edge therapies used today with a focus on pulmonary contusion. Many advances and experimental therapies currently used in the management of the patient with severe lung injuries are discussed. A case study is presented highlighting a complicated case of a blunt chest injury resulting in severe pulmonary contusion.- - - - - - - - - - ranking = 6.2439423152509keywords = chest (Clic here for more details about this article) |
5/53. Aortic dissection and rupture presenting as suprasternal bruising and neck swelling.BACKGROUND: a 76-year-old man presented with transient loss of consciousness associated with swelling of the neck, bruising in the suprasternal notch and an absent left carotid pulse. blood pressure was equal in both arms and chest x-ray was normal, but computed tomography of the neck and thorax showed dissection and rupture of the thoracic aorta with extensive intra-mediastinal bleeding. OUTCOME: surgical intervention was inappropriate in this situation and the patient died within 4 hours of presentation. CONCLUSION: syncope is a common presentation to hospital in older people and its cause may be difficult to elucidate, particularly if the patient is unable to provide a reliable history. syncope without pain is a rare presentation of aortic dissection and the occurrence of anterior chest wall bruising has not been described previously. pulse deficits and abnormal chest x-ray findings are often cited as indicative of aortic dissection but are rare manifestations and their absence should not be used to exclude this diagnosis.- - - - - - - - - - ranking = 2.6759752779647keywords = chest (Clic here for more details about this article) |
6/53. Myocardial contusion culminating in a ruptured pseudoaneurysm of the left ventricle--a case report.Blunt chest trauma continues to be one of the most common injuries at all ages. Trauma in general is the leading cause of death in the young to middle-aged segment of our population. Blunt chest injury is said to occur in more than one third of all motor vehicle accidents. Myocardial contusion is the most frequent cardiac injury resulting from blunt chest trauma. autopsy studies indicate that cardiac trauma was directly associated with death in approximately 10% of cases suffering blunt chest injury. aneurysm formation as a sequela of blunt cardiac trauma is a rare entity and pseudoaneurysm formation is considerably more rare. A case of myocardial contusion resulting in myocardial necrosis, rupture of the ventricle, and pseudoaneurysm formation with subsequent rupture and sudden death is presented.- - - - - - - - - - ranking = 3.5679670372863keywords = chest (Clic here for more details about this article) |
7/53. Delayed complications after myocardial contusion.A 45 year old farmer was kicked in the chest by a horse. In the days following the injury episodic breathlessness developed and he was admitted to hospital with right ventricular failure and pulmonary emboli. echocardiography showed global right ventricular dysfunction but a right ventricular mural thrombus, the likely source of the pulmonary emboli, was not seen. He gradually recovered after treatment with anticoagulant. One month later he presented with a further complication--complete atrioventricular dissociation--that required a dual chamber pacemaker implantation. This patient had few initial manifestations of right ventricular myocardial contusion and this case illustrates that such patients should be closely monitored for delayed complications.- - - - - - - - - - ranking = 0.89199175932156keywords = chest (Clic here for more details about this article) |
8/53. Air bag injuries and occupant protection.Analysis of the investigations of crashes involving automobiles equipped with air bags verifies the estimations of the lifesaving and injury reduction benefits of this supplemental restraint system. Cases of air bag-associated injuries, primarily erythema, abrasions, and contusions of the lower face and anterior throat-upper chest, are identified as those most often observed. Corneal-scleral injuries were infrequently noted but are rarely found in crashes involving air bag deployments.- - - - - - - - - - ranking = 0.89199175932156keywords = chest (Clic here for more details about this article) |
9/53. Spontaneous haematoma of the oesophagus.Haematoma of the oesophagus is a rare occurrence and is usually in response to trauma, retching or vomiting. We report a case of spontaneous haematoma of the oesophagus that presented with only bruising over the chest. It resolved completely with conservative management. We review the literature, common causes, the differential diagnosis and the management of oesophageal haematoma.- - - - - - - - - - ranking = 0.89199175932156keywords = chest (Clic here for more details about this article) |
10/53. Isolated myocardial contusion in blunt chest trauma.The objective of this case report was to document a rare case of isolated myocardial contusion in the setting of blunt thoracic trauma. Although demonstrated by electrocardiogram and myocardium-specific enzymes, the trauma had no clinical relevance and the patient was discharged uneventfully from the intensive care unit. The clinical significance of blunt myocardial contusion is then discussed.- - - - - - - - - - ranking = 3.5679670372863keywords = chest (Clic here for more details about this article) |
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