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Injury of axillary nerve (axillary neuropathy) is a condition that can be associated with a surgical neck of the humerus fracture. It can also be associated with a dislocated shoulder [ 1 ] or with traction injury to the nerve, which may be caused by over-aggressive stretching or blunt trauma that does not result in fracture or dislocation. [ 2 ]
Findings on clinical examination depend on the severity and duration of MR. The mitral component of the first heart sound is usually soft and with a laterally displaced apex beat, [6] often with heave. [7] The first heart sound is followed by a high-pitched holosystolic murmur at the apex, radiating to the back or clavicular area. [6]
The apex beat may also be displaced by other conditions: Pleural or pulmonary diseases; Deformities of the chest wall or the thoracic vertebrae; Sometimes, the apex beat may not be palpable, either due to a thick chest wall, or conditions where the stroke volume is reduced; such as during ventricular tachycardia or shock.
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
These range from mild sprains and lacerations to joint dislocations, broken bones and severe neck or head injuries. Trampoline deaths are rare, but they do occur. Most trampoline injuries occur in ...
Rarely, there may be cyanosis, altered level of consciousness, a hyperresonant percussion note on examination of the affected side with reduced expansion and decreased movement, pain in the epigastrium (upper abdomen), displacement of the apex beat (heart impulse), and resonant sound when tapping the sternum.
The sudden impact on the thorax causes an increase in intrathoracic pressure. [4] In order for traumatic asphyxia to occur, a Valsalva maneuver is required when the traumatic force is applied. [ 6 ] Exhalation against the closed glottis along with the traumatic event causes air that cannot escape from the thoracic cavity.
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