Chemical pneumonitis: Difference between revisions

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{{Pneumonia}}
__NOTOC__
'''Editor(s)-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]] [mailto:mgibson@perfuse.org] Phone:617-632-7753; [[Philip Marcus, M.D., M.P.H.]][mailto:pmarcus192@aol.com]
{{Chemical pneumonitis}}


==Overview==
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
Chemical pneumonitis is inflammation of the lung caused by irritation from aspirated [[vomitus]] or barium used in gastro-intestinal imaging, ingested gasoline or other [[Fractional distillation|petroleum distillate]]s, ingested or skin absorbed [[pesticide]]s, gases from [[electroplating]], or other irritants. It is sometimes called a "chemical [[pneumonia]]", though it is not infectious. May also be caused by the use of [[inhalants]].When the toxic substance is an oil, the pneumonia may be called [[lipoid pneumonia]].
==Historical perspective==
* [[Mendelson's syndrome]] is a type of chemical pneumonia in which aspiration of gastric acid is present.
* It was first described in pregnant females who aspirated gastric content during anesthesia, with development of [[respiratory distress]], [[cyanosis]] and lung infiltrates on chest Xray <ref name="pmid20993766">{{cite journal |author=MENDELSON CL |title=The aspiration of stomach contents into the lungs during obstetric anesthesia |journal=[[American Journal of Obstetrics and Gynecology]] |volume=52 |issue= |pages=191–205 |year=1946 |month=August |pmid=20993766 |doi= |url= |accessdate=2012-09-08}}</ref>.
==History & Symptoms==
* Acute onset [[dyspnea]]
* [[Cyanosis]]
* Low grade [[fever]]
* Productive cough with pink frothy sputum


==Physical examination==
'''Editor(s)-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com] Phone:617-632-7753; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.D.]] [mailto:psingh13579@gmail.com]
===Vitals===
* [[Tachypnea]]
* [[Tachycardia]]
* [[Fever]]
* [[Hypoxemia]] on pulse oximetry
===General===
* [[Cyanosis]]


===Lung===
==[[Chemical pneumonitis overview|Overview]]==
====Auscultation====
* [[Diffuse crackles]]


==Diagnosis==
==[[Chemical pneumonitis historical perspective|Historical Perspective]]==  
===Chest XRay===
* Infiltrates on chest Xray
** Either unilateral or bilateral
** Commonly in the dependent pulmonary segment
** Dependent lobes in the upright position are the lower lobes
** Dependent lobes in recumbent position are superior segments of the lower lobes and the posterior segments of the upper lobes


==Medical therapy==
==[[Chemical pneumonitis pathophysiology|Pathophysiology]]==


==References==
==[[Chemical pneumonitis causes|Causes]]==
{{reflist|2}}


[[Category:Diseaase]]
==[[Chemical pneumonitis differential diagnosis|Differentiating Chemical pneumonitis from other Diseases]]==
 
==[[Chemical pneumonitis epidemiology and demographics|Epidemiology and Demographics]]==
 
==[[Chemical pneumonitis risk factors|Risk Factors]]==
 
==[[Chemical pneumonitis natural history, complications, and prognosis|Natural History, Complications and Prognosis]]==
 
==Diagnosis==
 
[[Chemical pneumonitis history and symptoms| History and Symptoms]] | [[Chemical pneumonitis physical examination | Physical Examination]] | [[Chemical pneumonitis laboratory findings|Laboratory Findings]] | [[Chemical pneumonitis chest x ray|Chest X Ray]] | [[Chemical pneumonitis CT|CT]] | [[Chemical pneumonitis MRI|MRI]] | [[Chemical pneumonitis other imaging findings|Other Imaging Findings]] | [[Chemical pneumonitis other diagnostic studies|Other Diagnostic Studies]]
 
==Treatment==
[[Chemical pneumonitis medical therapy|Medical Therapy]] | [[Chemical pneumonitis primary prevention|Primary Prevention]] | [[Chemical pneumonitis secondary prevention|Secondary Prevention]] | [[Chemical pneumonitis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Chemical pneumonitis future or investigational therapies|Future or Investigational Therapies]]
 
==Case Studies==
[[Chemical pneumonitis case study one|Case #1]]
 
[[Category:Toxicology]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Infectious disease]]
[[Category:Disease]]
[[Category:Pneumonia|Pneumonia]]
 
[[Category:Pneumonia]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
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Latest revision as of 17:21, 18 September 2017

Chemical pneumonitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Chemical pneumonitis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Chemical pneumonitis On the Web

Most recent articles

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Powerpoint slides

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X-rays
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CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Chemical pneumonitis

CDC onChemical pneumonitis

Chemical pneumonitis in the news

Blogs on Chemical pneumonitis

Directions to Hospitals Treating Chemical pneumonitis

Risk calculators and risk factors for Chemical pneumonitis

For patient information click here

Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2]

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Chemical pneumonitis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Chest X Ray | CT | MRI | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1 Template:WH Template:WS

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