Diaphragmatic trauma - Revision history

Rossdonaldson1: /* Background */

2022-04-20T22:10:27Z

Background

← Older revision		Revision as of 22:10, 20 April 2022
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	[[File:1113 The Diaphragm.jpg\|thumb\|Diaphragm anatomy from inferior view.]]		[[File:1113 The Diaphragm.jpg\|thumb\|Diaphragm anatomy from inferior view.]]
	[[File:Gray530.png\|thumb\|Left pleura cavity and diaphram (viewed from left).]]		[[File:Gray530.png\|thumb\|Left pleura cavity and diaphram (viewed from left).]]
			[[File:Body Cavities Frontal view labeled 2.jpg\|thumb\|The pericardial cavity in this image is labeled d and is part of the inferior mediastium. Here we can see its relation to the superior mediastinum a, the pleural cavities c, and the diaphragm e.]]
	*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]		*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]
	**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, 2021).</ref>		**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, 2021).</ref>

Rossdonaldson1: /* Background */

2021-04-10T12:34:00Z

Background

← Older revision		Revision as of 12:34, 10 April 2021
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	==Background==		==Background==
	[[File:1113 The Diaphragm.jpg\|thumb\|Diaphragm anatomy from inferior view.]]		[[File:1113 The Diaphragm.jpg\|thumb\|Diaphragm anatomy from inferior view.]]
			[[File:Gray530.png\|thumb\|Left pleura cavity and diaphram (viewed from left).]]
	*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]		*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]
	**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, 2021).</ref>		**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, 2021).</ref>

Rossdonaldson1: /* Background */

2021-04-10T12:32:26Z

Background

← Older revision		Revision as of 12:32, 10 April 2021
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	==Background==		==Background==
			[[File:1113 The Diaphragm.jpg\|thumb\|Diaphragm anatomy from inferior view.]]
	*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]		*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]
	**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, 2021).</ref>		**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, 2021).</ref>

Rossdonaldson1: Rossdonaldson1 moved page Diaphragm injury to Diaphragmatic trauma

2021-03-17T21:37:52Z

Rossdonaldson1 moved page Diaphragm injury to Diaphragmatic trauma

← Older revision	Revision as of 21:37, 17 March 2021
(No difference)

Rossdonaldson1: /* Evaluation */

2021-03-17T21:32:14Z

Evaluation

← Older revision		Revision as of 21:32, 17 March 2021
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	[[File:Diaphragmatic rupture spleen herniation.jpg\|thumb\|[[CXR]] of diaphragmatic rupture with spleen herniation.]]		[[File:Diaphragmatic rupture spleen herniation.jpg\|thumb\|[[CXR]] of diaphragmatic rupture with spleen herniation.]]
	[[File:PMC5098930 poljradiol-81-522-g003.png\|thumb\|Coronal reformatted CT image shows constriction of the herniated stomach at the level of a ruptured diaphragm (collar sign) after blunt trauma.]]		[[File:PMC5098930 poljradiol-81-522-g003.png\|thumb\|Coronal reformatted CT image shows constriction of the herniated stomach at the level of a ruptured diaphragm (collar sign) after blunt trauma.]]
			[[File:PMC5098930 poljradiol-81-522-g002.png\|thumb\|CT showing left hemidiaphragmatic rupture with a "dangling diaphragm
			sign and herniation of the stomach (confirmed on surgery).]]
	*[[CXR]] may show visceral herniation		*[[CXR]] may show visceral herniation
	**Poorly sensitive		**Poorly sensitive

Rossdonaldson1: /* Evaluation */

2021-03-17T21:29:10Z

Evaluation

← Older revision		Revision as of 21:29, 17 March 2021
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	==Evaluation==		==Evaluation==
	[[File:Diaphragmatic rupture spleen herniation.jpg\|thumb\|[CXR]] of diaphragmatic rupture with spleen herniation.]]		[[File:Diaphragmatic rupture spleen herniation.jpg\|thumb\|[[CXR]] of diaphragmatic rupture with spleen herniation.]]
			[[File:PMC5098930 poljradiol-81-522-g003.png\|thumb\|Coronal reformatted CT image shows constriction of the herniated stomach at the level of a ruptured diaphragm (collar sign) after blunt trauma.]]
	*[[CXR]] may show visceral herniation		*[[CXR]] may show visceral herniation
	**Poorly sensitive		**Poorly sensitive

Rossdonaldson1: /* Evaluation */

2021-03-17T21:25:42Z

Evaluation

← Older revision		Revision as of 21:25, 17 March 2021
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	==Evaluation==		==Evaluation==
			[[File:Diaphragmatic rupture spleen herniation.jpg\|thumb\|[CXR]] of diaphragmatic rupture with spleen herniation.]]
	*[[CXR]] may show visceral herniation		*[[CXR]] may show visceral herniation
	**Poorly sensitive		**Poorly sensitive

Elcatracho: /* Background */

2021-01-05T16:18:40Z

Background

← Older revision		Revision as of 16:18, 5 January 2021
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	==Background==		==Background==
	*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]		*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]
	**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, ~~2005~~).</ref>		**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, 2021).</ref>
	*If missed, can lead to herniation of viscera and tension enterothorax		*If missed, can lead to herniation of viscera and tension enterothorax
	*Most commonly left sided		*Most commonly left sided

Elcatracho: /* Background */

2021-01-05T16:18:05Z

Background

← Older revision		Revision as of 16:18, 5 January 2021
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	==Background==		==Background==
	*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]		*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]
			**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, 2005).</ref>
	*If missed, can lead to herniation of viscera and tension enterothorax		*If missed, can lead to herniation of viscera and tension enterothorax
	*Most commonly left sided		*Most commonly left sided

ClaireLewis at 15:25, 12 October 2019

2019-10-12T15:25:38Z

← Older revision		Revision as of 15:25, 12 October 2019
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	==Background==		==Background==
	*Associated with penetrating or blunt trauma to lower chest/upper abdomen		*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]
	*If missed, can lead to herniation of viscera and tension enterothorax		*If missed, can lead to herniation of viscera and tension enterothorax
	*Most commonly left sided		*Most commonly left sided
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	==Clinical Features==		==Clinical Features==
	*~~Pain~~		*[[abdominal pain\|Upper abdominal]]/[[chest pain\|lower chest pain]]
	*[[Shortness of breath]]		*[[Shortness of breath]]
	*Diminished breath sounds on side of rupture		*Diminished breath sounds on side of rupture
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	==Management==		==Management==
	*~~NGT~~ decompression		*[[NG tube]] decompression
	*Surgery is required to fix the defect		*Surgery is required to fix the defect

← Older revision		Revision as of 22:10, 20 April 2022
Line 2:		Line 2:
	[[File:1113 The Diaphragm.jpg\|thumb\|Diaphragm anatomy from inferior view.]]		[[File:1113 The Diaphragm.jpg\|thumb\|Diaphragm anatomy from inferior view.]]
	[[File:Gray530.png\|thumb\|Left pleura cavity and diaphram (viewed from left).]]		[[File:Gray530.png\|thumb\|Left pleura cavity and diaphram (viewed from left).]]
			[[File:Body Cavities Frontal view labeled 2.jpg\|thumb\|The pericardial cavity in this image is labeled d and is part of the inferior mediastium. Here we can see its relation to the superior mediastinum a, the pleural cavities c, and the diaphragm e.]]
	*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]		*Associated with penetrating or blunt trauma to lower [[thoracic trauma\|chest]]/[[abdominal trauma\|upper abdomen]]
	**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, 2021).</ref>		**~65% from penetrating, 35% from blunt<ref>National Trauma Data Base. American College of Surgeons 2000-2004. https://ntdbdatacenter.com/ (Accessed on January 01, 2021).</ref>