His X ray is shown below:
X- Ray Description: X-ray chest (AP view of chest) shows 3rd to 8th rib fractures (white arrows) on left side, each at two places with encysted hemothorax (black arrow) and lung contusion (extends between the asterisks) with mediastinal pushed to the right side.
Diagnosis: Flail chest.
Clinical Discussion:
Flail chest is a critical condition following major blunt chest trauma in which two or more
contiguous ribs are fractured at two or more places. In this condition, a segment of the thoracic cage is separated from the rest of the chest (flail segment), as a result a part of the chest wall moves freely in the opposite direction as to the rest of the chest.
The related complications are :
- pneumothorax,
- pleural effusion,
- pulmonary laceration and
- contusion.
Diagnosis: CT is superior to chest radiograph for most thoracic injuries. It can demonstrate pulmonary contusion, lacerations, pneumothorax and hemothorax that may be missed on plain radiographs. Spiral CT with high resolution image acquisition followed by sagittal and coronal
reconstructions clearly depict spinal and diaphragmatic injuries if associated.
Treatment includes alteration of position to make the patient most comfortable and provide relief of pain, good analgesia with intercostal block and positive pressure ventilation. Surgical fixation is usually not required.
ReplyDeleteI feel so excited today because it's just a year since I got my breakthrough from Herpes.I was diagnosed of HSV1 on the 12/4/2015 and latter i got affected with the HSV2. That was my 2nd outbreak after i lost my ex fiance that got me affected with the virus. I was so scared when he died and what i heard about the Herpes virus as he's deathly and such has no cure. I feel so pity and and a disgrace to my personality,in my career and my family to have been in with the deathly sickness, and that would makes my love ones siblings stay far from me. I was going to my regular church activities when i begin to hear testimonies of how people get cure online, i never gave it a thought till my cousin Stephanie who was affected with HIV told me, Lenny you need not to worry cos i met i man today online , i traditional herbal healer whom two of her friends confirmed he cure them with his herbal herbs that i should give it a try. I saw the interest in her and she did contact the herbal doctor again in my present, luckily for me he picked and show up himself, behold he was at about to attain to some patients that have came back with appreciation of how he cure them from Cancer, HIV, and off much too the herpes he cured an 18 years old daughter.
I was so happy that day, i wanted to be there but the distance was a barrier to me. I told him how the virus had eaten me up and and a truly believe there's cure for herpes. He told me me with assurance that my case wont be different and he had been curing lots of people With his herbal medicine and most people due contact him from the States and preperd the medicine and made use of the DHL to reach him.
Honestly speaking Dr. Akpu power his a great and gifted herbalist,His destined to herbs.
He made me do away with the medical prescription,the acyclovir (Zovirax), famciclovir(Famvir), and valacyclovir (valtrex). you don't know him because you haven't meet this man try and contact him yourself Dr. Akpu in Africa is popularly known in his City,and you can request for his address yourself. I'm so happy now cos,I and my cousin had been confirmed negative till date..the Lord is good in my life. Dr. Akpu sent me his herbal medicine that heal me too, 🙏 🙏 Dr. Akpu for giving me another life.
Contact Dr.akpu for all kids of sickness@
Dr.akpupowerherbscenter@gmail.com
Dear Sir,
ReplyDeleteI'm The Editor of a book in Surgery which will be published next year. I want to Include the radiograph of "flail chest" in the book and I'll mention the source.
Your cooperation is appreciated.
Best regards
Prof. Ahmed Al Hadrani, FRCS, FACS.
I started on COPD Herbal treatment from Ultimate Life Clinic, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Life Clinic via their WEBSITE www.ultimatelifeclinic.com . I can breath much better and It feels comfortable!
ReplyDelete