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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

1.0K
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...
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The Thoracic Cage: Ribs01:20

The Thoracic Cage: Ribs

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Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
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Flail Chest-II01:26

Flail Chest-II

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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:
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Pneumothorax-I01:26

Pneumothorax-I

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

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In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
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Pneumothorax-II01:27

Pneumothorax-II

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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:
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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
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Cough-induced rib fractures.

Atsushi Sano1, Ken Tashiro2, Tsutomu Fukuda2

  • 1Department of Thoracic Surgery, Chigasaki Municipal Hospital, Chigasaki, Japan sanoa-tky@umin.ac.jp.

Asian Cardiovascular & Thoracic Annals
|July 25, 2015
PubMed
Summary

Cough-induced rib fractures are common, affecting all ages and often involving middle and lower ribs. Rib radiography is a useful diagnostic tool for these injuries.

Keywords:
Chest painCoughRadiographyRib fracturesThoracic wallthoracic

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Area of Science:

  • Medical Imaging
  • Pulmonology
  • Orthopedics

Background:

  • Chest pain following coughing can indicate rib fractures.
  • Investigating the specific characteristics of these fractures is important for diagnosis and management.

Purpose of the Study:

  • To characterize cough-induced rib fractures.
  • To identify common fracture locations and patient demographics.

Main Methods:

  • Retrospective analysis of 17 patients with chest pain after coughing.
  • Utilized rib radiography and computed tomography (CT) for diagnosis.
  • Focused imaging on the site of chest pain.

Main Results:

  • 14 out of 17 patients had rib fractures.
  • Fractures occurred across a wide age range (14-86 years), with a median of 39.5 years.
  • Middle and lower ribs were most frequently affected, particularly the 10th rib.

Conclusions:

  • Cough-induced rib fractures affect all age groups, irrespective of underlying conditions.
  • The prevalence of middle and lower rib fractures highlights the utility of radiography.
  • Early diagnosis through imaging aids in appropriate patient care.