Pulmonary contusion - Revision history

Rossdonaldson1: /* Evaluation */

2021-04-10T13:29:47Z

Evaluation

← Revisión anterior		Revisión del 13:29 10 abr 2021
Línea 18:		Línea 18:

	==Evaluation==		==Evaluation==
			[[File:Pulmonary contusion.jpg \|thumb\|[[CXR]] showing right-sided pulmonary contusion, associated with [[rib fractures]] and [[subcutaneous emphysema]].]]
	[[File:Pulmonary contusion CT arrow.jpg\|thumb\|Chest CT showing a pulmonary contusion (red arrow) accompanied by [[rib fracture]] (blue arrow).]]		[[File:Pulmonary contusion CT arrow.jpg\|thumb\|Chest CT showing a pulmonary contusion (red arrow) accompanied by [[rib fracture]] (blue arrow).]]
	*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic		*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic

Rossdonaldson1: /* Evaluation */

2021-04-10T13:28:11Z

Evaluation

← Revisión anterior		Revisión del 13:28 10 abr 2021
Línea 18:		Línea 18:

	==Evaluation==		==Evaluation==
			[[File:Pulmonary contusion CT arrow.jpg\|thumb\|Chest CT showing a pulmonary contusion (red arrow) accompanied by [[rib fracture]] (blue arrow).]]
	*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic		*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic
	*[[CXR]]		*[[CXR]]

ClaireLewis: /* Management */

2019-10-13T14:34:47Z

Management

← Revisión anterior		Revisión del 14:34 13 oct 2019
Línea 31:		Línea 31:
	**Ventilatory Assistance		**Ventilatory Assistance
	***Patients with >25% of lung involvement frequently require ventilatory assistance		***Patients with >25% of lung involvement frequently require ventilatory assistance
	***NIV may be tried		***[[NIPPV\|NIV]] may be tried
	***Intubate if NIV fails		***[[Intubate]] if NIV fails
	****Low tidal volume, high PEEP		****Low tidal volume, high PEEP
	*Avoid unnecessary fluid administration		*Avoid unnecessary fluid administration

ClaireLewis at 04:00, 24 September 2019

2019-09-24T04:00:45Z

← Revisión anterior		Revisión del 04:00 24 sep 2019
Línea 4:		Línea 4:

	==Clinical Features==		==Clinical Features==
	*Dyspnea		*[[Dyspnea]]
	*Tachypnea		*Tachypnea
	*[[Chest pain]]		*[[Chest pain]]
	*Coarse breath sounds		*Coarse breath sounds
	*Hypoxia		*[[Hypoxia]]
	*Widened A-a gradient		*Widened A-a gradient


			==Differential Diagnosis==
			{{Thoracic trauma DDX}}

			{{Pulmonary edema types}}

	==Evaluation==		==Evaluation==
Línea 19:		Línea 25:
	**May pick up 70% of contusions not seen on CXR		**May pick up 70% of contusions not seen on CXR
	**Contusion >20% of lung volume associated with 80% risk of developing ARDS		**Contusion >20% of lung volume associated with 80% risk of developing ARDS

	~~==Differential Diagnosis==~~
	~~{{Thoracic trauma DDX}}~~

	~~{{Pulmonary edema types}}~~

	==Management==		==Management==
	*Ensure adequate ventilation		*Ensure adequate ventilation
	**Analgesia		**[[Analgesia]]
	**Ventilatory Assistance		**Ventilatory Assistance
	***Patients with >25% of lung involvement frequently require ventilatory assistance		***Patients with >25% of lung involvement frequently require ventilatory assistance

Mholtz at 23:18, 22 October 2017

2017-10-22T23:18:20Z

← Revisión anterior		Revisión del 23:18 22 oct 2017
Línea 4:		Línea 4:

	==Clinical Features==		==Clinical Features==
	*Signs/symptoms		*Dyspnea
	**Dyspnea		*Tachypnea
	**Tachypnea		*[[Chest pain]]
	**[[Chest pain]]		*Coarse breath sounds
	**Coarse breath sounds		*Hypoxia
	**Hypoxia		*Widened A-a gradient
	**Widened A-a gradient

	==Evaluation==		==Evaluation==
	~~===Imaging===~~
	*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic		*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic
	*[[CXR]]		*[[CXR]]
Línea 36:		Línea 34:
	****Low tidal volume, high PEEP		****Low tidal volume, high PEEP
	*Avoid unnecessary fluid administration		*Avoid unnecessary fluid administration

			==Disposition==


	==See Also==		==See Also==
	*[[Rib Fracture]]		*[[Rib Fracture]]

Rossdonaldson1: Text replacement - "Chest pain" to "Chest pain"

2016-09-25T20:05:37Z

Text replacement - "*Chest pain" to "*Chest pain"

← Revisión anterior		Revisión del 20:05 25 sep 2016
Línea 7:		Línea 7:
	**Dyspnea		**Dyspnea
	**Tachypnea		**Tachypnea
	**Chest pain		**[[Chest pain]]
	**Coarse breath sounds		**Coarse breath sounds
	**Hypoxia		**Hypoxia

Rossdonaldson1: Text replacement - "CXR" to "CXR"

2016-09-09T14:27:22Z

Text replacement - "*CXR" to "*CXR"

← Revisión anterior		Revisión del 14:27 9 sep 2016
Línea 15:		Línea 15:
	===Imaging===		===Imaging===
	*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic		*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic
	*CXR		*[[CXR]]
	**Patchy irregular infiltrates		**Patchy irregular infiltrates
	*CT		*CT

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-25T03:57:23Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 03:57 25 jul 2016
Línea 12:		Línea 12:
	**Widened A-a gradient		**Widened A-a gradient

	==~~Diagnosis~~==		==Evaluation==
	===Imaging===		===Imaging===
	*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic		*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic

ClaireLewis: /* Diagnosis */

2016-07-13T08:30:18Z

Diagnosis

← Revisión anterior		Revisión del 08:30 13 jul 2016
Línea 14:		Línea 14:
	==Diagnosis==		==Diagnosis==
	===Imaging===		===Imaging===
	*Areas of lung opacification on chest imaging ~~w/in~~ 6hr of blunt trauma is diagnostic		*Areas of lung opacification on chest imaging within 6hr of blunt trauma is diagnostic
	*CXR		*CXR
	**Patchy irregular infiltrates		**Patchy irregular infiltrates
Línea 20:		Línea 20:
	**Ground-glass opacities in mild-moderate contusions, widespread consolidation if severe		**Ground-glass opacities in mild-moderate contusions, widespread consolidation if severe
	**May pick up 70% of contusions not seen on CXR		**May pick up 70% of contusions not seen on CXR
	**Contusion >20% of lung volume ~~a/w~~ 80% risk of developing ARDS		**Contusion >20% of lung volume associated with 80% risk of developing ARDS

	==Differential Diagnosis==		==Differential Diagnosis==

Neil.m.young: Text replacement - " w/ " to " with "

2016-07-12T18:56:58Z

Text replacement - " w/ " to " with "

← Revisión anterior		Revisión del 18:56 12 jul 2016
Línea 1:		Línea 1:
	==Background==		==Background==
	*Direct injury to lung resulting in hemorrhage and edema in absence of lung laceration		*Direct injury to lung resulting in hemorrhage and edema in absence of lung laceration
	*Flail chest almost always associated w/ contusion		*Flail chest almost always associated with contusion

	==Clinical Features==		==Clinical Features==
Línea 31:		Línea 31:
	**Analgesia		**Analgesia
	**Ventilatory Assistance		**Ventilatory Assistance
	***Patients w/ >25% of lung involvement frequently require ventilatory assistance		***Patients with >25% of lung involvement frequently require ventilatory assistance
	***NIV may be tried		***NIV may be tried
	***Intubate if NIV fails		***Intubate if NIV fails

Pulmonary contusion - Revision history

Rossdonaldson1: /* Evaluation */

Rossdonaldson1: /* Evaluation */

ClaireLewis: /* Management */

ClaireLewis at 04:00, 24 September 2019

Mholtz at 23:18, 22 October 2017

Rossdonaldson1: Text replacement - "*Chest pain" to "*Chest pain"

Rossdonaldson1: Text replacement - "*CXR" to "*CXR"

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

ClaireLewis: /* Diagnosis */

Neil.m.young: Text replacement - " w/ " to " with "

Rossdonaldson1: Text replacement - "Chest pain" to "Chest pain"

Rossdonaldson1: Text replacement - "CXR" to "CXR"