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OpenMED@NIC - Pseudotumor of the right chest wall: a case of ...
Pseudotumor of the right chest wall: a case of massive empyema necessitans. Behera, D.; D'Souza, George and Malik, S.K. (1988) Pseudotumor of the right chest wall: a case of massive empyema necessitans. Indian Journal of Tuberculosis, ...
Results of Chest Wall Resection and Reconstruction With and ...
Chest Meeting Home page R. D. Sundy, W. Isakow, and D. Kreisel ASPERGILLUS EMPYEMA NECESSITANS AFTER CHEST WALL RECONSTRUCTION Chest Meeting Abstracts, October 1, 2007; 132(4): 726a - 727. [Abstract] [PDF] ...
放浪呼吸器科医の日記 : 結核の画像 その④ その他の所見と活動性評価
胸壁への進展(empyema necessitans) bronhopleural fistula 気胸 fibrosing mediastinitis [J Thorac Imaging 2001;16:191] 気管支結核・・・狭窄・閉塞・瘻孔 [Br J Radiol 2001;74:1056] 心膜炎 esophago-mediastinal fistulas・・・リンパ節の食道へ ...
Thoracic Surgery For Non-Neoplastic Disease. Empyema
EMPYEMA
10. What is an empyema, and what causes it?
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An empyema is a purulent (infected) effusion. Fluid or blood in the pleural space can be directly innoculated (with bugs) during surgery or trauma (33%) or by contamination from contiguous sites (50%) such as bronchopulmonary infection (most common). Most empyemas are parapneumonic, and the most commonly involved organisms are Staphylococcus aureus, enteric gram-negative bacilli, and anaerobes. Many times, infections are polymicrobial. Often there is no growth of an empyema culture because of effective antibiotic therapy or inadequate culture techniques, particularly with anaerobes.
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Thoracic Surgery For Non-Neoplastic Disease. Pleural Effusion
PLEURAL EFFUSION
6. What is a pleural effusion?
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Pleural fluid is generated in normal adults at a rate of 5-10 L per 24 hours in the combined hemithoraces, but normal adults have only 20 mL of pleural fluid present at any time. Pleural effusions develop when there is either increased production or decreased resorption. Pathologic conditions leading to effusions include increased capillary permeability (inflammation, tumor), increased hydrostatic pressure (e.g., in congestive heart failure [CHF]), decreased lymphatic drainage (tumor, radiation fibrosis), decreased oncotic pressure (hypoalbuminemia), or combinations of these.
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Hepatic & Biliary Trauma. Biliary Tract Injury
BILIARY TRACT INJURY
22. Why are complications associated with bile duct leaks?
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Bilomas (i.e., collections of bile) frequently become infected and may result in lethal peritonitis. Biliopleural fistula, a communication between the biliary system and pleural cavity, persists because of the relative negative pressure in the thorax and may result in a bile empyema.
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biliary trauma, fistula biliopleural trauma, hepatic trauma and its management,Penetrating Thoracic Trauma
22 PENETRATING THORACIC TRAUMA
Jeffrey L. Johnson M.D., Ernest E. Moore M.D.
1. How often do patients with penetrating chest wounds need an operation?
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Surprisingly rarely. Most civilian penetrating injuries are from knives and low-energy handguns. Consequently, although injuries to the chest wall and lung are common, the majority of patients can be treated with tube thoracostomy alone. Formal thoracotomy or median sternotomy is required in < 15% of isolated penetrating chest injuries.
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Esophageal Cancer
44 ESOPHAGEAL CANCER
Casey M. Calkins M.D.
1. What are the risk factors for developing esophageal cancer?
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Both alcohol and tobacco increase the risk of carcinoma of the esophagus by a factor of 10. Additional risk factors include Barrett’s esophagus with dysplasia, carcinogen exposures (e.g., nitrosamines in the Eastern world), vitamin and trace element deficiencies, and Plummer-Vinson syndrome.
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