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Fetal conditions can also cause a mediastinal shift during development. For example, pulmonary hypoplasia is the underdevelopment of a lung due to various etiologies. These include agenesis due to gene mutation, fetal hydrothorax, and congenital diaphragmatic hernia. These conditions lead to incomplete development of lung tissue or hypoplasia.
It can occur after damage to the central nervous system, such as spinal cord injury and traumatic brain injury. Low blood pressure occurs due to decreased systemic vascular resistance resulting from loss of sympathetic tone , which in turn causes blood pooling within the extremities rather than being available to circulate throughout the body.
The classic symptoms include a slow heart rate due to loss of cardiac sympathetic tone and warm skin due to dilation of the peripheral blood vessels. [20] This term can be confused with spinal shock which is a recoverable loss of function of the spinal cord after injury and does not refer to the hemodynamic instability.)
Image shows early occurrence of tracheal deviation. Tracheal deviation is a clinical sign that results from unequal intrathoracic pressure within the chest cavity.It is most commonly associated with traumatic pneumothorax, but can be caused by a number of both acute and chronic health issues, such as pneumonectomy, atelectasis, pleural effusion, fibrothorax (pleural fibrosis), or some cancers ...
Hamman's crunch is caused by pneumomediastinum or pneumopericardium, and is associated with tracheobronchial injury [6] due to trauma, medical procedures (e.g., bronchoscopy) or rupture of a proximal pulmonary bleb. It can be seen with Boerhaave syndrome.
Traumatic cardiac arrest is a complex form of cardiac arrest often derailing from advanced cardiac life support in the sense that the emergency team must first establish the cause of the traumatic arrest and reverse these effects, for example hypovolemia and haemorrhagic shock due to a penetrating injury.
This causes a type of shock, called obstructive shock, which can lead to organ damage. [6] Non-cardiac symptoms may also present due to the enlarging pericardial effusion compressing nearby structures. Some examples are nausea and abdominal fullness, dysphagia and hiccups, due to compression of stomach, esophagus, and phrenic nerve respectively ...
The most common cause of blunt cardiac injury (BCI) is due to motor vehicle collisions. [4] In evaluating causes for BCI, it is important to understand how the heart is situated within the thorax. It is protected to a certain degree by bony structures like the sternum, ribs and spine, thereby offering it significant protection and thus ...