Thoracic Pathology.

JUAN ALFONSO CARDENAS RAMOS

Dr.Hector Manuel Virgen Ayala.Dr. Benjamin Robles Mariscal.

September 2011

Thoracic Pathology.

ANATOMY• The chest wall is an

expandable cover.

• Lung ventilation was carried out, tanks to a positive pressure generated inside the chest.

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Thoracic Pathology.

ANATOMY Anterior.

18 c

m

Shaped supra esternal

Xiphoid process

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Thoracic Pathology.

ANATOMY

Lateral.

10 pairs of upper ribs.

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Thoracic Pathology.ANATOMY

Made up of 12 thoracic vertebrae.

posterior

Underside.

2 pairs of clavicles.

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Thoracic Pathology.Chest injury.

This contributes to 50% of deaths due to trauma.

Which may be mainly.

1.-obtruccion of the airways.

2.-thoracic unstable.

3.-open pneumotorax

4.-massive hemothorax.

5.-tension pneumothorax.

6.-cardiac tamponade.Font:http://www.google.com/imgres?imgurl=http://www.learningradiology.com

Thoracic Pathology.Chest injury.

Almost all blunt trauma resulting from automobile accidents.

Penetrating chest injuries from knives bullets, etc. They are deadly.

Mortality %

Isolated lesion 4-8%

With other organs affected 10-15%

Injured several organs 35%

Thoracic Pathology.

Chest wall lesions.

The most common rage from simple fracture with hemopneumotorax, taking the pain as a symptom as the main ispiration.

Fractured Ribs

Treatment:

Analgesics or intercostal nerve blocks.

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Thoracic Pathology.

Trachea and bronchi: 

Blunt trauma are usually due to tracheobronchial compression of the airways in the sternum and spine. 

Chest wall lesions.

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Thoracic Pathology.

Pleural disordes:

Is fluid penetration of the pleural space, its called

Pneumothorax.

Hemothorax.

Hydrothorax.

Chylothorax.

Pleural effusion:

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Thoracic Pathology.Pleural disordes:

Appointed to the presence of air or gas in the pleural cavities and can be spontaneous, traumatic or therapeutic. It can also mean air leakage or communication between the spaces.

Pneumothorax.

80%- can be hemopneumothorax Font:http://medicovsmonstro.blogspot.com/2010/06/pneumotorax.html

Thoracic Pathology.

Pleural disordes:

Condition that results from blood accumulating in the pleural cavity.

Hemothorax.

Classification Ml

Minimum 350ml

Moderate 350 – 1500 ml

Massive. More than 1500ml

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Thoracic Pathology.

Pleural disordes:

A hydrothorax is a condition that results from serous fluid accumulating in the pleural cavity

Hydrothorax.

In malignan disease

In cardiovascular diseaseFont:http://www.google.com/imgres?imgurl=http://www.scielo.org.pe

Thoracic Pathology.

Pleural disordes:

with nephropathy

Hydrothorax.

with pancreatitis.

with cirrosis.

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Thoracic Pathology.

Pleural disordes:

It is a milky fluid accumulation, usually of lymphatic origin, in the pleural cavity is usually bilateral but may be more common in left side. 

Chylothorax.

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Thoracic Pathology.

Diagnosis.In most of these diagnosis.

are clinical

with dulleness to percusion

Decreased breath sounds.

Radiography with plenty water or air.

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Thoracic Pathology.

Treatment.• Thoracostomy.

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