Diaphragmatic trauma: Difference between revisions
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**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 | ||
*Most commonly left sided | |||
==Clinical Features== | ==Clinical Features== | ||
*SOB | |||
*Diminished breath sounds on side of rupture | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Sources== | ==Sources== | ||
Rosens | |||
<references/> | <references/> | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Pulm]] | [[Category:Pulm]] | ||
Revision as of 00:47, 20 July 2015
Background
- Associated w/ 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 w/ 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
See Also
Sources
Rosens