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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Physical Assessment of the Respiratory Tract II: Inspection01:27

Physical Assessment of the Respiratory Tract II: Inspection

Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration can...
Chest Physiotherapy01:24

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...

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Updated: Jun 22, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

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Pediatric chest wall and breast deformities.

John A van Aalst1, J Duncan Phillips, A Michael Sadove

  • 1Chapel Hill, N.C.; and Indianapolis, Ind. From the Divisions of Plastic Surgery and Pediatric Surgery, University of North Carolina; Division of Plastic Surgery, Indiana University; Indiana University Medical Center; and North Carolina Children's Hospital.

Plastic and Reconstructive Surgery
|July 2, 2009
PubMed
Summary

Pediatric chest wall and breast deformities encompass a range of congenital and acquired conditions. Surgical correction requires multidisciplinary collaboration, considering growth and timing for optimal functional and aesthetic results.

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Area of Science:

  • Pediatric Surgery
  • Plastic and Reconstructive Surgery
  • Congenital Anomalies

Background:

  • Pediatric chest wall and breast deformities present a diverse spectrum of congenital and acquired conditions.
  • Abnormalities are categorized into hypoplastic, hyperplastic, and deformational types, affecting both chest wall and breast structures.
  • Coincidental occurrence of chest wall and breast anomalies is common in pediatric patients.

Purpose of the Study:

  • To review the classification and management considerations for pediatric chest wall and breast deformities.
  • To highlight the importance of multidisciplinary surgical approaches in optimizing outcomes.
  • To emphasize the role of growth anticipation and treatment timing in surgical planning.

Main Methods:

  • Review of pediatric chest wall and breast anomaly classifications.
  • Discussion of surgical techniques for hypoplastic, hyperplastic, and deformational anomalies.
  • Emphasis on collaborative pediatric and pediatric plastic surgery management strategies.

Main Results:

  • Hypoplastic and deformational anomalies often necessitate reconstruction with augmentation and may have high reoperation rates.
  • Hyperplastic abnormalities typically require reduction techniques with lower reoperation likelihood.
  • Successful management hinges on coordinated surgical efforts and strategic timing relative to child development.

Conclusions:

  • Surgical correction of pediatric chest wall and breast deformities demands integrated care from pediatric and plastic surgeons.
  • Anticipating pediatric growth is crucial for maximizing functional and aesthetic outcomes.
  • Careful treatment timing is paramount for addressing these complex congenital and deformational anomalies.