Diferencia entre revisiones de «Diaphragmatic trauma»
(Text replacement - "==Diagnosis==" to "==Evaluation==") |
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| Línea 12: | Línea 12: | ||
{{Thoracic trauma DDX}} | {{Thoracic trauma DDX}} | ||
== | ==Evaluation== | ||
*CT C/A/P with contrast | *CT C/A/P with contrast | ||
*Pass OG tube and check if tube curves up from abdomen into the chest | *Pass OG tube and check if tube curves up from abdomen into the chest | ||
Revisión del 07:11 23 jul 2016
Background
- Associated with penetrating trauma to lower chest/upper abdomen
- Rarely caused by blunt trauma
- If missed can lead to herniation of viscera and to a tension enterothorax
- Most commonly left sided
Clinical Features
- shortness of breath
- Diminished breath sounds on side of rupture
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Evaluation
- CT C/A/P with contrast
- Pass OG tube and check if tube curves up from abdomen into the chest
- Upper GI series (looking for viscera in the chest)
Management
Disposition
- Admit