Pulmonary contusion: Difference between revisions
(Created page with "==Background== *direct damage to lung causing alveolar hemor & edema & mucus/debris accumulation ==Diagnosis== *pts= sob, tachy, cyanosis, low bp, rales, hypoxia, wide a-...") |
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==Background== | ==Background== | ||
*Direct damage to lung causing alveolar hemorrhage, edema, and debris accumulation | |||
* | |||
==Diagnosis== | ==Diagnosis== | ||
*Signs/symptoms | |||
**SOB | |||
**Tachypnea | |||
**Cyanosis | |||
**Hypotension | |||
**Rales | |||
**Hypoxia | |||
**Wide a-A | |||
==Imaging== | |||
* | *CXR | ||
**Patchy irregular infiltrates | |||
* | **Always seen by 4-6 hr, always worse than what the 1st CXR shows | ||
***Do not treat the CXR, treat the patient | |||
*CXR | **Flail chest almost always associated with contusion | ||
* | |||
==Treatment== | ==Treatment== | ||
*If need to intubate: low tidal volume, high PEEP | |||
* | |||
==See Also== | ==See Also== | ||
==Source== | |||
*Trauma Reports 4/04 | |||
[[Category:Trauma]] | [[Category:Trauma]] |
Revision as of 07:36, 5 April 2011
Background
- Direct damage to lung causing alveolar hemorrhage, edema, and debris accumulation
Diagnosis
- Signs/symptoms
- SOB
- Tachypnea
- Cyanosis
- Hypotension
- Rales
- Hypoxia
- Wide a-A
Imaging
- CXR
- Patchy irregular infiltrates
- Always seen by 4-6 hr, always worse than what the 1st CXR shows
- Do not treat the CXR, treat the patient
- Flail chest almost always associated with contusion
Treatment
- If need to intubate: low tidal volume, high PEEP
See Also
Source
- Trauma Reports 4/04