patologia pulmonar
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Thoracic Pathology.
JUAN ALFONSO CARDENAS RAMOS
Dr.Hector Manuel Virgen Ayala.Dr. Benjamin Robles Mariscal.
September 2011
Thoracic Pathology.
ANATOMY• The chest wall is an
expandable cover.
• Lung ventilation was carried out, tanks to a positive pressure generated inside the chest.
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Thoracic Pathology.
ANATOMY Anterior.
18 c
m
Shaped supra esternal
Xiphoid process
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Thoracic Pathology.
ANATOMY
Lateral.
10 pairs of upper ribs.
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Thoracic Pathology.ANATOMY
Made up of 12 thoracic vertebrae.
posterior
Underside.
2 pairs of clavicles.
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Thoracic Pathology.Chest injury.
This contributes to 50% of deaths due to trauma.
Which may be mainly.
1.-obtruccion of the airways.
2.-thoracic unstable.
3.-open pneumotorax
4.-massive hemothorax.
5.-tension pneumothorax.
6.-cardiac tamponade.Font:http://www.google.com/imgres?imgurl=http://www.learningradiology.com
Thoracic Pathology.Chest injury.
Almost all blunt trauma resulting from automobile accidents.
Penetrating chest injuries from knives bullets, etc. They are deadly.
Mortality %
Isolated lesion 4-8%
With other organs affected 10-15%
Injured several organs 35%
Thoracic Pathology.
Chest wall lesions.
The most common rage from simple fracture with hemopneumotorax, taking the pain as a symptom as the main ispiration.
Fractured Ribs
Treatment:
Analgesics or intercostal nerve blocks.
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Thoracic Pathology.
Trachea and bronchi:
Blunt trauma are usually due to tracheobronchial compression of the airways in the sternum and spine.
Chest wall lesions.
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Thoracic Pathology.
Pleural disordes:
Is fluid penetration of the pleural space, its called
Pneumothorax.
Hemothorax.
Hydrothorax.
Chylothorax.
Pleural effusion:
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Thoracic Pathology.Pleural disordes:
Appointed to the presence of air or gas in the pleural cavities and can be spontaneous, traumatic or therapeutic. It can also mean air leakage or communication between the spaces.
Pneumothorax.
80%- can be hemopneumothorax Font:http://medicovsmonstro.blogspot.com/2010/06/pneumotorax.html
Thoracic Pathology.
Pleural disordes:
Condition that results from blood accumulating in the pleural cavity.
Hemothorax.
Classification Ml
Minimum 350ml
Moderate 350 – 1500 ml
Massive. More than 1500ml
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Thoracic Pathology.
Pleural disordes:
A hydrothorax is a condition that results from serous fluid accumulating in the pleural cavity
Hydrothorax.
In malignan disease
In cardiovascular diseaseFont:http://www.google.com/imgres?imgurl=http://www.scielo.org.pe
Thoracic Pathology.
Pleural disordes:
with nephropathy
Hydrothorax.
with pancreatitis.
with cirrosis.
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Thoracic Pathology.
Pleural disordes:
It is a milky fluid accumulation, usually of lymphatic origin, in the pleural cavity is usually bilateral but may be more common in left side.
Chylothorax.
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Thoracic Pathology.
Diagnosis.In most of these diagnosis.
are clinical
with dulleness to percusion
Decreased breath sounds.
Radiography with plenty water or air.
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Thoracic Pathology.
Treatment.• Thoracostomy.
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