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Chest trauma

Chest trauma. May 19, 2010. Outline: Soft tissue injury Bone Lung Mediastinum Great vessels. Normal chest. Subcutaneous emphysema: Soft tissue injury / fracture. Subcutaneous emphysema: could be from rib fracture, stab wound, larynx or tracheal injury.

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Chest trauma

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  1. Chest trauma May 19, 2010

  2. Outline: Soft tissue injury Bone Lung Mediastinum Great vessels.

  3. Normal chest

  4. Subcutaneous emphysema: Soft tissue injury / fracture

  5. Subcutaneous emphysema: could be from rib fracture, stab wound, larynx or tracheal injury

  6. Blunt chest injury with fracture ribs, subcutaneous and mediastinal emphsyema, extend down to abdominal wall and retroperitoneum

  7. Lung contusion: Seen as patchy / alveolar density

  8. Unilateral lung contusion, DDx aspirated pneumonia

  9. Pulmonary contusion, DDx pneumonia

  10. Lung contusion

  11. Air bronchograms: Resulted from: Alveolar pathology eighter fluid (exudate, edema blood) or cell (alveolar cell ca) or alveolar atelectasis (surfactant def.) Pulmonary contusion

  12. Pulmonary edema / ARDS as a consequence of lung contusion with subpneumonic gas

  13. What is your diagnosis?

  14. Tension pneumothorax

  15. Tension pneumothorax

  16. RLL atelectasis, AP: right retrocardiac density Lat: Ligh vertebral sign

  17. RUL Atelectasis

  18. Mediastinal emphysema: could be from rib fracture, trachea injury, esophageal injury

  19. Pneumo-mediastinum: Better seen in lateral view as lucent streak outline great vessel and heart

  20. Rib fractures, subcutaneous emphsyema, mediastinal emphysema, pneumopericardium and lung contusion.

  21. Pneumomediastinum and lung contusion: angle wing sign

  22. LEFT DIAPHRAGMATIC RUPTURE

  23. PLEURAL EFFUSION

  24. What is your diagnosis?

  25. What is your diagnosis?

  26. Widened mediastinum DDX: mediastinal hematoma aortic injury aneurysm of aorta from supine position. should be awared when interpret

  27. Fracture rib with lung contusion and widening of mediastinum, from great vessel injury

  28. Widening of mediastinum: hematoma

  29. Spine injury

  30. CERVICAL SPINE ALIGNMENT A= ANTERIOR VERTEBRAL BODY B= POSTERIOR VERTEBRAL BODY C= SPINOLAMINAR LINE D = INTERSPINOUS LINE 1 = ANTERIOR LONGITUDINAL LIGAMENT 2 = INTERVERTEBRAL DISC 3 = POSTERIOR LONGITUDINAL LIGAMENT 4 = CAPSULAR LIGAMENT 5 = LIGAMENTUM FLAVUM 6 = INTERSPINOUS LIGAMENT

  31. C1-2 alignment …then click the placeholders to add your own pictures and captions.

  32. Den fracture I

  33. Den fracture II

  34. Den fracture III

  35. Hangman’s fracture

  36. Burst fracture

  37. Jefferson fracture

  38. Atlanto-occipital dislocation

  39. Clay shoveller fracture

  40. Picture Quick Styles give you great looking “frames” in a single click.

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