Tension Pneumothorax happens when the air has become trapped between the lungs and the rib cage, which is called the pleural space. As the pleural space fills the lungs it not able to expand which causes the lung to collapse. After the lung collapses the air from one side begins to push to the functioning lung causing the working lung to function harder than usual. The pleural space can obtain oxygen through either a closed pneumothorax or through an open pneumothorax. Tension pneumothorax occurs after a closed pneumothorax or an open pneumothorax has been left untreated.
She still is dyspneic with exertion and on 2L of oxygen via nasal cannula. Uses a walker. • Mr. Raj Singh, a 68-year-old admitted with chest pain and scheduled to have a cardiac catheterization done today at noon. He is very anxious and rings the call bell every 15 minutes to ask whether he is going to die and if the cardiac catheterization is really necessary. • Mr. George Rivera, a 38-year-old Mexican male, admitted with high blood sugars and newly diagnosed with diabetes.
Related case A A 75 year-old homeless man was diagnosed with diabetes. He felt a pain in the left foot two days prior and was admitted to an emergency center. His left foot became necrotic and amputation was necessary. He was informed about the amputation need. However, he seemed blunted, even though the doctor said he will lose his left foot.
Myocardial perfusion imaging: Myocardial perfusion imaging (MPI) is a form of functional cardiac imaging, used for the diagnosis of ischemic heart disease. The underlying principle is that under conditions of stress, diseased myocardium receives less blood flow than normal myocardium. MPI is one of several types of cardiac stress test. A cardiac specific radiopharmaceutical is administered. E.g.
The first boy Anne ever loved, and perhaps her only friend in hiding, Peter Van Pels, died in Mauthausen, May 1945. Hermann Van Pels, Peters father, passed in Spring, most-likely in Theresienstadt. Fritz Pfeffer died of illness in Neuengamme late December 1944. Anne’s father, Otto Frank, was liberated from Auschwitz on January 27, 1945. Otto later discovered he was the only survivor, and passed August 19, 1980.
Aneurysm Introduction: The term aneurysm is derived from the Greek word aneurysma meaning “a widening”.An aneurysm is a localized, abnormal, weak spot on a blood vessel wall that causes an outward bulging likened to a bubble or balloon. Aneurysms are a result of a weakened blood vessel wall and may be a result of a hereditary condition or an acquired disease. Aneurysms can also be a nidus for thrombosis and embolization. As an aneurysm increases in size, the risk of rupture increases leading to uncontrolled bleeding. Although they may occur in any blood vessel particularly lethal examples include aneurysms of the Circle of Willis in the brain, aortic aneurysms affecting the thoracic aorta and abdominal aortic aneurysms.
Blood returning to the heart from the fetal body contains carbon dioxide and waste products as it enters the right atrium. It flows down into the right ventricle. Then it bypasses the lungs and flows through the ductus arteriosus into the descending aorta. Descending aorta connects to the umbilical arteries and from there, blood flows back into the placenta. Congenital heart disease Congenital heart disease is the most common types of defect which is present at birth.
The majority of traumatic PM results from medial tracking of air from a concomitant pneumothorax. The Macklin effect, of air tracking medially along peribronchial sheaths from alveolar rupture, is responsible for most other cases. 4 When there is fracture of ribs the cause for pneumomediastinum is usually due to tracking of air from pneumothorax. Pneumomediastinum and pneumopericardium due to Macklin effect without pneumothorax in a case of fracture first rib following blunt chest trauma is
The loose blood clots can block the artery in the heart and become pulmonary embolism (PE). A pulmonary embolism is dangerous conditions that can lead to fatal because of blood supplies from the heart to the other parts of the body are failed. DISEASE CLASSIFICATION Deep vein thrombosis can be classified to three categories which is idiopathic, acute and chronic. Idiopathic deep vein thrombosis can characterized with usual condition acquired risk factors, such as obesity, trauma, cancer, or surgery. Acute deep vein thrombosis can be seen by pain and swelling.
Safe use of NPPV and regional anaesthesia combination for caesarean section have previously described with several case reports in patients with respiratory failure due to kyphoscoliosis, neuromuscular diseases, acute respiratory distress syndrome, pneumonia and non-cardiogenic pulmonary oedema (3-5). In our patient, acute pulmonary oedema developed presumably because of tachycardia caused by anxiety and pain caused by preterm labour in our patient with pre-existing multivalvular heart disease and limited cardiac reserve. Management of these patients is difficult, because guidelines and standards are lacking. Some authors have described the use of general anaesthesia with good maternal outcome, whereas others have reported increased pulmonary arterial pressure during laryngoscopy and
Their first child died during labor due to an unforeseen complication. After two years of severe depression, the couple tried again and this time they had identical twin girls: Joan and June (Joan had type B blood). Sadly, Sarah died when her aorta burst during delivery. Later it was determined that she had Marfan syndrome. June married a man named Thomas Sandstone.
On January 10, 1966 in Pompano Beach, Florida, Linda Brown, the youngest of 6 siblings, was born at Broward General hospital to the parents of Christine and Eddie Lee Brown. Father deceased; he lost his life to prostate cancer in 2007. Mother is alive and well, at the age of 83 years old. Four siblings deceased, the oldest, Diane Smith, currently, 64 years old. Premature, Linda weighted 4 pounds and 2 ounces.
Calder 's father suffered a two-year battle against a rare form of non-smoking lung cancer. Before he passed away, a few days before his 67th birthday, the Calder son asked the Seinfeld cast members to send messages to his ailing father. He was able to show his dad the compilation before he left this earth. The whole family surprised him with a video compilation from Julia Louis-Dreyfus, John O ' Hurley, Wayne Knight, Larry Thomas, Patrick Warburton, and more. The cast members did not only take the time to make the video for dear ol ' dad.
Introduction to Atrial Fibrillation The most prevalent clinical arrhythmia is atrial fibrillation, which can be defined as irregular heart beats caused by uncoordinated activation of the atria. Atria are the two upper chambers of the heart. During atrial fibrillation, the cardiac muscles that make up the walls of these atrial chambers, receive disorganized activation signals. This causes them to fibrillate, which means rapid and irregular contractions. This results in inefficient pumping of blood from the atria into the ventricles, the lower two chambers.
Right-sided heart failure is when the cardiac muscle on the right side of the heart becomes too weak to pump a sufficient amount of deoxygenated blood to the lungs. It is usually a complication of various conditions including lung diseases such as emphysema. This means that less oxygenated blood is taken from the lungs by the pulmonary veins and transported to the left side of the heart to then be pumped around the body. It can also produce a back-up of blood in the vessels within the body. This failure to pump sufficient blood to the lungs results in a build-up of fluid, which is known as oedema.