1/6. Simple construction of a subcutaneous catheter for treatment of severe subcutaneous emphysema.subcutaneous emphysema often presents a management dilemma. Rarely, subcutaneous emphysema has pathophysiologic consequences. More often, it is extremely uncomfortable for the patient, and is often disfiguring and alarming for patients and family. When subcutaneous emphysema is severe, physicians may feel compelled to treat it, but the currently described techniques are often invasive or ineffective. We describe the use of an easily constructed, minimally invasive, fenestrated catheter that relieves the symptoms of subcutaneous emphysema.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/6. subcutaneous emphysema after restorative dental treatment.subcutaneous emphysema is an uncommon phenomenon in dentistry, usually occurring with the use of air-driven, high-speed handpieces during dental and oral surgery, operative, endodontic, or periodontal treatment. Air is forced into a surgical wound or subepithelial laceration in the oral cavity, dissecting through the different layers of tissue fasciae, and usually creating a unilateral enlargement of the facial and/or submandibular regions. This occurs with or without crepitus, pain, and airway obstruction. Treatment usually consists of antibiotic and mild analgesic therapy, close observation, and reassurance by the attending dentist. Symptoms generally subside in 3 to 10 days; however, consultation with a physician is necessary to rule out further complications.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/6. subcutaneous emphysema and pneumomediastinum secondary to dental extraction: a case report and literature review.Here, we present the case of a woman who suffered from acute dyspnea and right cheek and neck swelling during molar extraction. The use of a high-speed dental drill may introduce air into the soft tissue and lead to subcutaneous emphysema and pneumomediastinum. After a review of the literature, we found that subcutaneous emphysema and pneumomediastinum are rare complications secondary to dental extraction. We report this case because physicians in the emergency department may misdiagnose the symptoms as an allergic reaction. dentists should be more aware of air leak during dental extraction.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/6. Traumatic rupture of the stomach after heimlich maneuver.Fatal complications following the performance of the heimlich maneuver have been reported. A 76-year-old woman presented to the emergency department with signs of respiratory distress, abdominal pain and distension one day after airway obstruction and subsequent resuscitation. Despite successful immediate laparotomy and repair of a ruptured stomach, she later succumbed to the sequelae of aspiration of gastric contents and dehiscence of the gastric tear. This is the 4th case of stomach rupture and the 7th reported fatal complication following the heimlich maneuver. It is recommended that persons who undergo the heimlich maneuver be examined and observed by a physician, as soon as possible, to rule out complications.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/6. subcutaneous emphysema of the lower extremity of gastrointestinal origin.Two cases of subcutaneous emphysema of the left lower extremity secondary to perforations of the rectum ,nd sigmoid colon are presented. Although this is an extremely rare syndrome, the true incidence is probably higher, as some cases will be misdiagnosed as gas gangrene unless careful clinical and postmortem examinations are performed. Only rapid recognition of the probable origin of the gas, coupled with aggressive, definitive therapy, can prevent the usually fatal course of this condition. In the absence of trauma to the chest or infection in a previously normal leg, subcutaneous emphysema of a limb should alert the physician to the possibility of a gastrointestinal perforation as a source of the gas. Perforations of the gastrointestinal tract into the subcutaneous tissue can occur anywhere from the neck to the lower extremities.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/6. Spontaneous pneumothorax in weightlifters.Spontaneous pneumothorax is infrequently caused by strenuous exertion. To our knowledge there has only been one case of spontaneous pneumothorax associated with weightlifting reported in the medical literature. We describe three consecutive cases of spontaneous pneumothorax associated with weightlifting. We postulate that spontaneous pneumothorax in these patients may be secondary to improper breathing techniques. It is important that physicians and weight trainers be aware of the association between weight lifting and spontaneous pneumothorax and assure that proper instruction is given to athletes who work with weights.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |