Diaphragmatic trauma: Difference between revisions
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*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 | ||
Revision as of 07:11, 23 July 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