Pneumomediastinum history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
This condition is uncommon and the clinical presentation is variable and may range from vague symptoms to life-threatening respiratory failure<ref>name="pmid18721592">{{cite journal |vauthors=Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE |title=Spontaneous pneumomediastinum: a comparative study and review of the literature |journal=Ann. Thorac. Surg. |volume=86 |issue=3 |pages=962–6 |date=September 2008 |pmid=18721592 |doi=10.1016/j.athoracsur.2008.04.067 |url=}}</ref><ref>{{cite journal |vauthors=Nakagawa, Hideki, Yamauchi, Miwa, Kusuyama, Toshiyuki, Fukuda, Hiroyuki, & Ogawa, Kaoru |date= |title=Cervical emphysema secondary to pneumomediastinum as a complication of childbirth |url= |journal=Ear, Nose and Throat Journal |volume= 82(12)|issue= |pages=948-51 |doi= |pmc= |pmid= |access-date=Dec, 2003 }}</ref><ref name="RiccioAbbott1990">{{cite journal|last1=Riccio|first1=John C.|last2=Abbott|first2=Jean|title=A simple sore throat?: Retropharyngeal emphysema secondary to free-basing cocaine|journal=The Journal of Emergency Medicine|volume=8|issue=6|year=1990|pages=709–712|issn=07364679|doi=10.1016/0736-4679(90)90283-2}}</ref><ref name="AbbasAkinkuotu2015">{{cite journal|last1=Abbas|first1=Paulette I.|last2=Akinkuotu|first2=Adesola C.|last3=Peterson|first3=Michelle L.|last4=Mazziotti|first4=Mark V.|title=Spontaneous pneumomediastinum in the pediatric patient|journal=The American Journal of Surgery|volume=210|issue=6|year=2015|pages=1031–1036|issn=00029610|doi=10.1016/j.amjsurg.2015.08.002}}</ref> | This condition is uncommon and the clinical presentation is variable and may range from vague symptoms to life-threatening respiratory failure<ref>name="pmid18721592">{{cite journal |vauthors=Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE |title=Spontaneous pneumomediastinum: a comparative study and review of the literature |journal=Ann. Thorac. Surg. |volume=86 |issue=3 |pages=962–6 |date=September 2008 |pmid=18721592 |doi=10.1016/j.athoracsur.2008.04.067 |url=}}</ref><ref>{{cite journal |vauthors=Nakagawa, Hideki, Yamauchi, Miwa, Kusuyama, Toshiyuki, Fukuda, Hiroyuki, & Ogawa, Kaoru |date= |title=Cervical emphysema secondary to pneumomediastinum as a complication of childbirth |url= |journal=Ear, Nose and Throat Journal |volume= 82(12)|issue= |pages=948-51 |doi= |pmc= |pmid= |access-date=Dec, 2003 }}</ref><ref name="RiccioAbbott1990">{{cite journal|last1=Riccio|first1=John C.|last2=Abbott|first2=Jean|title=A simple sore throat?: Retropharyngeal emphysema secondary to free-basing cocaine|journal=The Journal of Emergency Medicine|volume=8|issue=6|year=1990|pages=709–712|issn=07364679|doi=10.1016/0736-4679(90)90283-2}}</ref><ref name="AbbasAkinkuotu2015">{{cite journal|last1=Abbas|first1=Paulette I.|last2=Akinkuotu|first2=Adesola C.|last3=Peterson|first3=Michelle L.|last4=Mazziotti|first4=Mark V.|title=Spontaneous pneumomediastinum in the pediatric patient|journal=The American Journal of Surgery|volume=210|issue=6|year=2015|pages=1031–1036|issn=00029610|doi=10.1016/j.amjsurg.2015.08.002}}</ref><ref name="Andrade SemedoSilva2012">{{cite journal|last1=Andrade Semedo|first1=Flávia Helena Monteiro|last2=Silva|first2=Rosário Santos|last3=Pereira|first3=Sónia|last4=Alfaiate|first4=Teresa|last5=Costa|first5=Teresa|last6=Fernandez|first6=Pilar|last7=Pereira|first7=Amélia|title=Pneumomediastino espontâneo: relato de um caso|journal=Revista da Associação Médica Brasileira|volume=58|issue=3|year=2012|pages=355–357|issn=01044230|doi=10.1590/S0104-42302012000300017}}</ref>. | ||
*Chest pain (pain may radiate to the shoulders or back) | *Chest pain (pain may radiate to the shoulders or back) | ||
| Line 14: | Line 14: | ||
*Subcutaneous emphysema | *Subcutaneous emphysema | ||
*Shortness of breath | *Shortness of breath | ||
* | *Cervical pain | ||
*Jaw pain(as a result of Valsalva maneuvers, straining against a closed glottis, such as those seen during the second stage of labor) | *Jaw pain(as a result of Valsalva maneuvers, straining against a closed glottis, such as those seen during the second stage of labor) | ||
*Swelling of neck, face, chest, abdomen, shoulder | *Swelling of neck, face, chest, abdomen, shoulder | ||
*Dysphonia | |||
*Dysphagia | |||
==References== | ==References== | ||
Revision as of 17:15, 13 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Trusha Tank, M.D.[2] Jacquelyne DiTroia
Overview
Most common symptoms seen in pneumomediastinum are sudden onset of pain in the chest and subcutaneous emphysema. In most cases, pain follows the signs of causative or underlying pathology such as exacerbation of asthma. Spontaneous pneumomediastinum in most cases presents without any symptoms. Besides chest pain, other frequent symptoms are cough, dyspnea or pain in the neck. Most specific finding on physical exam is Hamman's sign, which is a mediastinal crunch or click present on auscultation over the cardiac apex and the left sternal border synchronous with the heartbeat.
History and Symptoms
This condition is uncommon and the clinical presentation is variable and may range from vague symptoms to life-threatening respiratory failure[1][2][3][4][5].
- Chest pain (pain may radiate to the shoulders or back)
- Shortness of breath
- Subcutaneous emphysema
- Shortness of breath
- Cervical pain
- Jaw pain(as a result of Valsalva maneuvers, straining against a closed glottis, such as those seen during the second stage of labor)
- Swelling of neck, face, chest, abdomen, shoulder
- Dysphonia
- Dysphagia
References
- ↑ name="pmid18721592">Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE (September 2008). "Spontaneous pneumomediastinum: a comparative study and review of the literature". Ann. Thorac. Surg. 86 (3): 962–6. doi:10.1016/j.athoracsur.2008.04.067. PMID 18721592.
- ↑ Nakagawa, Hideki, Yamauchi, Miwa, Kusuyama, Toshiyuki, Fukuda, Hiroyuki, & Ogawa, Kaoru. "Cervical emphysema secondary to pneumomediastinum as a complication of childbirth". Ear, Nose and Throat Journal. 82(12): 948–51. Vancouver style error: initials (help); Check date values in:
|access-date=(help);|access-date=requires|url=(help) - ↑ Riccio, John C.; Abbott, Jean (1990). "A simple sore throat?: Retropharyngeal emphysema secondary to free-basing cocaine". The Journal of Emergency Medicine. 8 (6): 709–712. doi:10.1016/0736-4679(90)90283-2. ISSN 0736-4679.
- ↑ Abbas, Paulette I.; Akinkuotu, Adesola C.; Peterson, Michelle L.; Mazziotti, Mark V. (2015). "Spontaneous pneumomediastinum in the pediatric patient". The American Journal of Surgery. 210 (6): 1031–1036. doi:10.1016/j.amjsurg.2015.08.002. ISSN 0002-9610.
- ↑ Andrade Semedo, Flávia Helena Monteiro; Silva, Rosário Santos; Pereira, Sónia; Alfaiate, Teresa; Costa, Teresa; Fernandez, Pilar; Pereira, Amélia (2012). "Pneumomediastino espontâneo: relato de um caso". Revista da Associação Médica Brasileira. 58 (3): 355–357. doi:10.1590/S0104-42302012000300017. ISSN 0104-4230.