Pneumomediastinum history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
The clinical presentation of pneumomediastinum varies from no symptoms at all 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>. | |||
*Severe, acute pain in the chest(pain may radiate to the shoulders or back) | *Severe, acute pain in the chest(pain may radiate to the shoulders or back) | ||
*Shortness of breath | *Shortness of breath | ||
*Fever | |||
*Subcutaneous emphysema | *Subcutaneous emphysema | ||
*Shortness of breath | *Shortness of breath | ||
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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
The clinical presentation of pneumomediastinum varies from no symptoms at all to life-threatening respiratory failure[1][2][3][4][5].
- Severe, acute pain in the chest(pain may radiate to the shoulders or back)
- Shortness of breath
- Fever
- Subcutaneous emphysema
- Shortness of breath
- Cervical pain
- Jaw pain
- Swelling of neck, face, chest, abdomen, shoulder
- Dysphonia
- Dysphagia
- Emesis
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.