Diaphragmatic trauma: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Pulm" to "Category:Pulmonary") |
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==Background== | ==Background== | ||
*Associated | *Associated with GSW to lower chest/upper abdomen | ||
**Rarely a/w blunt trauma | **Rarely a/w blunt trauma | ||
*If missed can lead to herniation of abd viscera and to a tension enterothorax | *If missed can lead to herniation of abd viscera and to a tension enterothorax | ||
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==Diagnosis== | ==Diagnosis== | ||
*CT C/A/P | *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 | ||
*Upper GI series (looking for viscera in the chest) | *Upper GI series (looking for viscera in the chest) | ||
Revision as of 22:30, 11 July 2016
Background
- Associated with GSW to lower chest/upper abdomen
- Rarely a/w blunt trauma
- If missed can lead to herniation of abd viscera and to a tension enterothorax
- Most commonly left sided
Clinical Features
- SOB
- Diminished breath sounds on side of rupture
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Diagnosis
- 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