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Chest sonography

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https://www.readbyqxmd.com/read/27875660/successful-use-of-targeted-temperature-management-after-repair-of-myocardial-rupture-from-blunt-chest-trauma-a-case-report
#1
Wook-Jin Choi, Yun Seok Kim, Jung Seok Hong, Jeong Won Kim
Targeted temperature management (TTM) improves survival and neurological outcome after nontraumatic cardiac arrest. However, TTM is not used widely after traumatic cardiac arrest because of concerns that it might exacerbate bleeding. We report the use of postarrest TTM after repair of blunt myocardial rupture. A 48-year-old man was admitted after being rescued from a major traffic accident by the local emergency service. Focused sonography showed pericardial fluid without cardiac tamponade. Computed tomography showed a large hematoma in the anterior mediastinum associated with hemopericardium...
November 22, 2016: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/27872786/congenital-diaphragmatic-hernia-with-delayed-presentation
#2
Alireza Malekzadegan, Alireza Sargazi
Congenital diaphragmatic hernia (CDH) is caused due to abnormal formation of the muscular parts of diaphragm. The incidence of CDH in common births ranges from 1/25000 to 1/30000. Pulmonary hypoplasia and pulmonary hypertension are factors that associate with the increase of mortality and morbidity due to CDH. We presented a 68-year-old Iranian woman with abdominal pain and tenderness in right upper quadrant who was diagnosed as having CDH. The disease was detected using chest X-ray and chest and abdomen sonography and confirmed with chest and abdomen CT scan with and without oral contrast...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27843541/blunt-diaphragmatic-lesions-imaging-findings-and-pitfalls
#3
REVIEW
Matteo Bonatti, Fabio Lombardo, Norberto Vezzali, Giulia A Zamboni, Giampietro Bonatti
Blunt diaphragmatic lesions (BDL) are uncommon in trauma patients, but they should be promptly recognized as a delayed diagnosis increases morbidity and mortality. It is well known that BDL are often overlooked at initial imaging, mainly because of distracting injuries to other organs. Sonography may directly depict BDL only in a minor number of cases. Chest X-ray has low sensitivity in detecting BDL and lesions can be reliably suspected only in case of intra-thoracic herniation of abdominal viscera. Thanks to its wide availability, time-effectiveness and spatial resolution, multi-detector computed tomography (CT) is the imaging modality of choice for diagnosing BDL; several direct and indirect CT signs are associated with BDL...
October 28, 2016: World Journal of Radiology
https://www.readbyqxmd.com/read/27826764/clinical-features-of-soft-tissue-sarcoma-presenting-intra-tumour-haematoma-case-series-and-review-of-the-literature
#4
Manabu Hoshi, Naoto Oebisu, Makoto Ieguchi, Yoshitaka Ban, Masatsugu Takami, Hiroaki Nakamura
INTRODUCTION: Intra-tumour haematoma is an uncommon clinical presentation in malignant soft tissue tumours. This study aimed to highlight the clinical features of patients with soft tissue sarcomas with intra-tumour haematoma. METHODS: The patient group was composed of eight men and one woman aged between 29 and 83 years (mean 44.0 ± 20.8). The average follow-up was 29.8 months. Clinical information, including clinical features, radiological information and treatment course, was retrospectively investigated...
November 8, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27769805/bodybuilding-induced-mondor-s-disease-of-the-chest-wall
#5
Christian Tröbinger, Christian J Wiedermann
OBJECTIVE: To describe the association of bodybuilding abdominal exercise with the development of superficial sclerosing thrombophlebitis of the anterolateral thoracoabdominal wall. DESIGN: A single case study. SETTING: University-affiliated regional community hospital. CASE DESCRIPTION: A 54-year-old man presented with an otherwise unremarkable past medical history 4 weeks after the start of left-sided chest discomfort...
September 4, 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27582528/epipericardial-fat-necrosis-sonographic-findings-and-their-correlation-with-computed-tomography
#6
Jorge Díaz, Julia Alegría, Daniel Pérez, Cristián Medina
Epipericardial fat necrosis is a rare cause of chest pain. It presents as pleuritic pain in an otherwise healthy patient. Computed tomography has proved to be the most effective diagnostic imaging technique because of its ability to reveal typical alterations in the cardiophrenic space. As far as we know, sonographic findings concerning this entity have not been reported in the literature. We report 4 cases admitted to our institutional emergency department with chest pain. Among other tests, chest wall sonography was requested in these patients and showed special findings that should be evaluated with chest computed tomography...
October 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27578939/thoracic-aortic-aneurysm-a-rare-cause-of-elevated-hemidiaphragm
#7
Md Arshad Ejazi, Md Mazhar Alam, Mohammad Shameem, Rakesh Bhargava, C G Adil Wafi, Salauddin
Phrenic nerve palsy causing hemidiaphragm paralysis is a very uncommon feature of thoracic aortic aneurysm. In one case, a 30 year male complained of chronic dull aching chest pain, and hoarseness of voice; posteroanterior view chest radiograph revealed large spherical radiopacity on the left upper lung zone with smooth lobulated margin with elevated left hemidiaphragm. On Colour Doppler sonography, lesion was anechoic on gray scale sonography but on Doppler analysis revealed intense internal vascularity within it with characteristic "Ying Yang" sign...
July 2016: Lung India: Official Organ of Indian Chest Society
https://www.readbyqxmd.com/read/27401709/early-dedicated-follow-up-and-treatment-of-pleural-effusions-enhance-the-recovery-rate-after-open-cardiac-surgery-results-from-a-randomized-clinical-trial
#8
Laura Sommer Hansen, Vibeke Elisabeth Hjortdal, Carl-Johan Jakobsen, Johan Heiberg, Marie Maagaard, Erik Sloth
OBJECTIVES: Recent studies conclude that cardiac surgery patients are prone to both mortality and morbidity in the weeks after discharge. Complications such as pleural and pericardial effusions may influence physical recovery due to symptoms such as dyspnoea, chest pain and fatigue. Dedicated follow-up and timely treatment of postoperative complications are suggested. METHODS: A randomized, controlled intervention trial including 76 patients, in the ratio of 1 : 1...
July 11, 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/27401440/integrating-efast-in-the-initial-management-of-stable-trauma-patients-the-end-of-plain-film-radiography
#9
Sophie Rym Hamada, Nathalie Delhaye, Sebastien Kerever, Anatole Harrois, Jacques Duranteau
BACKGROUND: The initial management of a trauma patient is a critical and demanding period. The use of extended focused assessment sonography for trauma (eFAST) has become more prevalent in trauma rooms, raising questions about the real "added value" of chest X-rays (CXRs) and pelvic X-rays (PXR), particularly in haemodynamically stable trauma patients. The aim of this study was to evaluate the effectiveness of a management protocol integrating eFAST and excluding X-rays in stable trauma patients...
December 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27398283/distant-metastasis-detected-by-routine-staging-in-breast-cancer-patients-participating-in-the-national-german-screening-programme-consequences-for-clinical-practice
#10
Peter Rusch, Oliver Hoffmann, Anna-L Stickelmann, Stephan Böhmer, Regine Gätje, Karl G Krüger, Stefan Niesert, Andrea Schmidt, Rainer Kimmig
PURPOSE: To determine frequency of routine radiological staging of breast cancer patients diagnosed in a German Breast Cancer Screening Center from 2007 to 2014, the incidence and consequences of distant metastases detected and the resulting implications for clinical routine. METHODS: Records of 896 patients with primary breast cancer diagnosed in the Screening Centre and treated in five participating hospitals were analyzed retrospectively. Evaluation included frequency and type of staging procedures and results with respect to distant metastasis and their consequences on clinical management...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27281361/breast-sarcoma-a-case-report-and-review-of-literature
#11
Nuria Li, Maria Teresa Cusidó, Beatriz Navarro, Francesc Tresserra, Sonia Baulies, Carmen Ara, Rafael Fabregas
INTRODUCTION: Breast sarcomas are rare with an annual incidence of 4.6 cases/1,000,000 women. They can appear as primary forms or secondary to radiation therapy or chronic lymphedema. PRESENTATION OF CASE: A 41 year old woman attended our hospital after having noticed an increase in the size of her fibroadenoma. The examination revealed a 7cm retroareolar nodule. Breast sonography described a hypoechoic bilobulated lesion and MRI showed a large size polinodular image, suggesting a Phyllodes tumor...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27251653/congenital-retrosternal-hernias-of-morgagni-manifestation-and-treatment-in-children
#12
Oleksii Slepov, Sergii Kurinnyi, Oleksii Ponomarenko, Mikhailo Migur
BACKGROUND: Due to scarcity of congenital diaphragmatic hearnias of Morgagni (CDHM), non-specific clinical presentation in the pediatric age group, we aimed to investigate the incidence, clinical manifestations, anatomical characteristics, and develop diagnostic algorithm and treatment of CDHM in children. MATERIALS AND METHODS: The patients' records of children with CDHM treated in our hospital during past 20 years were retrospectively reviewed for the age at diagnosis, gender, clinical findings, anatomical features, operative details and outcome...
April 2016: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/27246663/role-of-arrival-time-difference-between-lesions-and-lung-tissue-on-contrast-enhanced-sonography-in-the-differential-diagnosis-of-subpleural-pulmonary-lesions
#13
Jing Bai, Wei Yang, Song Wang, Rui-Hong Guan, Hui Zhang, Jing-Jing Fu, Wei Wu, Kun Yan
OBJECTIVES: The purpose of this study was to explore the diagnostic value of the arrival time difference between lesions and surrounding lung tissue on contrast-enhanced sonography of subpleural pulmonary lesions. METHODS: A total of 110 patients with subpleural pulmonary lesions who underwent both conventional and contrast-enhanced sonography and had a definite diagnosis were enrolled. After contrast agent injection, the arrival times in the lesion, lung, and chest wall were recorded...
July 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27226917/the-difficult-diagnosis-of-ischaemic-papillary-muscle-rupture-case-report-from-an-urban-emergency-department
#14
Christian T Braun, Meret E Ricklin, Aristomenis K Exadaktylos
We present a rare case of severe ischaemic papillary muscle rupture in a 67-year-old male patient who was admitted to the Emergency Department of the University Hospital Bern, Switzerland, in November 2013 with acute chest pain. On admission, the patient's blood pressure was 60/40 mm/Hg, his pulse was 110 beats per minute and his respiratory rate was 20 breaths per minute. An electrocardiogram was normal and focused assessment with sonography in trauma was negative. Transthoracic echocardiography showed possible thickening of the mitral valve leaflet with no indications of severe mitral insufficiency or wall motion abnormalities...
May 2016: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/27220508/staging-pet-ct-scanning-provides-superior-detection-of-lymph-nodes-and-distant-metastases-than-traditional-imaging-in-locally-advanced-breast-cancer
#15
Pankaj Kumar Garg, Suryanarayana V S Deo, Rakesh Kumar, Nootan Kumar Shukla, Sanjay Thulkar, Ajay Gogia, Daya Nand Sharma, Sandeep R Mathur
BACKGROUND: This study was designed to evaluate the role of a single 18-FDG positron emission tomography and computed tomography (PET-CT) scan in comparison to multiple organ-directed conventional investigations (CI) as a staging tool in locally advanced breast cancer (LABC) to detect regional and distant metastasis. METHODS: All eligible patients were subjected to CI (chest X-ray, abdominal sonography, and bone scintigraphy) followed by a single 18-FDG PET-CT scan...
August 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27220313/lung-ultrasound-as-a-predictor-of-mechanical-ventilation-in-neonates-older-than-32-weeks
#16
Javier Rodríguez-Fanjul, Carla Balcells, Victoria Aldecoa-Bilbao, Julio Moreno, Martín Iriondo
BACKGROUND: The prognosis of neonatal respiratory distress may be difficult to estimate at admission. Lung ultrasound is a useful diagnostic tool that is quick, requires little training, and is radiation free. OBJECTIVE: This study aims to analyze whether early lung ultrasound can predict respiratory failure. METHODS: From January to December 2014, lung ultrasound was performed on neonates admitted with breathing difficulties if they were older than 32 weeks and not intubated...
2016: Neonatology
https://www.readbyqxmd.com/read/27022698/-resuscitation-adult-advanced-life-support
#17
Jan-Thorsten Gräsner, Berthold Bein
Enhanced measures for resuscitation of adults are based on basic measures of resuscitation. The central elements are highly effective chest compressions and avoidance of disruptions that are associated with poor patient outcomes that occur within seconds. The universal algorithm distinguishes the therapy for ventricular fibrillation from the therapy in asystole or pulseless electrical activity (PEA) by the need of defibrillation, and amiodarone administration in the former. Defibrillation is biphasic. In all other aspects, there are no differences in therapy...
March 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/27009313/sonography-of-the-pediatric-chest
#18
Yonggeng Goh, Jeevesh Kapur
Traditionally, pediatric chest diseases are evaluated with chest radiography. Due to advancements in technology, the use of sonography has broadened. It has now become an established radiation-free imaging tool that may supplement plain-film findings and, in certain cases, the first-line modality for evaluation of the pediatric chest. This pictorial essay will demonstrate the diagnostic potential of sonography, review a spectrum of pediatric chest conditions, and discuss their imaging features and clinical importance...
May 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/26994026/targeted-therapy-for-renal-cell-carcinoma
#19
R Joshi, S Rawal
INTRODUCTION: Our study aims to evaluate the use of targeted therapy in metastatic renal cell carcinoma Methods: This is a prospective study done over three years from December 2010 to December, 2013.Out of Forty seven patients of metastatic renal cell carcinoma 8(neo-adjuvant cases) were excluded and 39 were included in this study. All patients received Tyrosine kinase inhibitor, sunitinib therapy (50 mg OD, 4/2 scheme). All 39 patients underwent radical nephrectomy prior to sunitinib therapy...
April 2015: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/26863904/sonography-of-the-chest-using-linear-array-versus-sector-transducers-correlation-with-auscultation-chest-radiography-and-computed-tomography
#20
Ozlem Tasci, Osman Nuri Hatipoglu, Bekir Cagli, Veli Ermis
PURPOSE: The primary purpose of our study was to compare the efficacies of two sonographic (US) probes, a high-frequency linear-array probe and a lower-frequency phased-array sector probe in the diagnosis of basic thoracic pathologies. The secondary purpose was to compare the diagnostic performance of thoracic US with auscultation and chest radiography (CXR) using thoracic CT as a gold standard. METHODS: In total, 55 consecutive patients scheduled for thoracic CT were enrolled in this prospective study...
July 8, 2016: Journal of Clinical Ultrasound: JCU
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