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Chest Anatomy

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1. Psychological interventions for symptomatic management of non-specific chest pain in patients with normal coronary anatomy. (PubMed)

Psychological interventions for symptomatic management of non-specific chest pain in patients with normal coronary anatomy. Recurrent chest pain in the absence of coronary artery disease is a common problem which sometimes leads to excess use of medical care. Although many studies have examined the causes of pain in these patients, few clinical trials have evaluated treatment. This is an update of a Cochrane review originally published in 2005 and last updated in 2010. The studies reviewed (...) 2014) and BIOSIS Previews (Web of Knowledge, 1969 to 2 May 2014). We also searched citation lists and contacted study authors.Randomised controlled trials (RCTs) with standardised outcome methodology that tested any form of psychotherapy for chest pain with normal anatomy. Diagnoses included non-specific chest pain (NSCP), atypical chest pain, syndrome X or chest pain with normal coronary anatomy (as either inpatients or outpatients).Two review authors independently selected studies for inclusion

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2015 Cochrane

2. Chest Fat Quantification via CT Based on Standardized Anatomy Space in Adult Lung Transplant Candidates. (PubMed)

Chest Fat Quantification via CT Based on Standardized Anatomy Space in Adult Lung Transplant Candidates. Overweight and underweight conditions are considered relative contraindications to lung transplantation due to their association with excess mortality. Yet, recent work suggests that body mass index (BMI) does not accurately reflect adipose tissue mass in adults with advanced lung diseases. Alternative and more accurate measures of adiposity are needed. Chest fat estimation by routine (...) computed tomography (CT) imaging may therefore be important for identifying high-risk lung transplant candidates. In this paper, an approach to chest fat quantification and quality assessment based on a recently formulated concept of standardized anatomic space (SAS) is presented. The goal of the paper is to seek answers to several key questions related to chest fat quantity and quality assessment based on a single slice CT (whether in the chest, abdomen, or thigh) versus a volumetric CT, which have

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2017 PLoS ONE

3. Chest wall – underappreciated structure in sonography. Part I: Examination methodology and ultrasound anatomy (PubMed)

Chest wall – underappreciated structure in sonography. Part I: Examination methodology and ultrasound anatomy Chest wall ultrasound has been awarded little interest in the literature, with chest wall anatomy described only in limited extent. The objective of this study has been to discuss the methodology of chest wall ultrasound and the sonographic anatomy of the region to facilitate professional evaluation of this complex structure. The primarily used transducer is a 7-12 MHz linear one. A 3 (...) anatomical regions. As far as cartilaginous and bony structures of the chest are concerned, the differences in the anatomy of the ribs, sternum, scapula and sternoclavicular joints have been discussed. The rich vascular network which is only fragmentarily accessible for ultrasound assessment has been briefly discussed. A comprehensive evaluation of the chest wall should include the axillary, supraclavicular, apical and parasternal lymph nodes. Their examination requires the use of elastography

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2017 Journal of Ultrasonography

4. Intramammary Findings on CT of the Chest – a Review of Normal Anatomy and Possible Findings (PubMed)

Intramammary Findings on CT of the Chest – a Review of Normal Anatomy and Possible Findings Computed tomography (CT) is a frequently performed examination in women of all ages. In all thoracic CT examinations of the chest at least parts of the breasts are included. Therefore incidental breast pathology may be observed. It has been suggested that one out of 250 women undergoing chest CT will show a malignant incidental breast lesion. Given the high number of performed chest CT examinations (...) , this contributes to a significant number of malignancies. In this review, after a brief discussion of the value of computed tomography in breast imaging, normal and pathologic findings are discussed to create awareness of this potential "black box" on chest CT.

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2016 Polish Journal of Radiology

5. Chest Lymphatic Anatomy

Chest Lymphatic Anatomy Chest Lymphatic Anatomy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Chest Lymphatic Anatomy Chest (...) Lymphatic Anatomy Aka: Chest Lymphatic Anatomy , Trunk Lymphatic Anatomy , Lymphatic Anatomy of the Trunk II. Anatomy: Images Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Chest Lymphatic Anatomy." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology

2018 FP Notebook

6. Chest Neurologic Anatomy

Chest Neurologic Anatomy Chest Neurologic Anatomy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Chest Neurologic Anatomy Chest (...) Neurologic Anatomy Aka: Chest Neurologic Anatomy , Chest Innervation , Neurologic Anatomy of the Chest II. Anatomy: Images Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Chest Neurologic Anatomy." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Trunk

2018 FP Notebook

7. Chest Anatomy

Chest Anatomy Chest Anatomy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Chest Anatomy Chest Anatomy Aka: Chest Anatomy , Chest II (...) . Anatomy Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Chest Anatomy." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: chest disorders (C0549646) Concepts

2018 FP Notebook

8. Association of chest pain versus dyspnea as presenting symptom for coronary angiography with demographics, coronary anatomy, and 2-year mortality (PubMed)

Association of chest pain versus dyspnea as presenting symptom for coronary angiography with demographics, coronary anatomy, and 2-year mortality The association of chest pain versus dyspnea with demographics, coronary angiographic findings, and outcomes of patients undergoing coronary angiography is unknown.We studied 1,053 patients who had coronary angiography to investigate the association of chest pain versus dyspnea with demographics, coronary angiographic findings, and outcomes.Of 1,053 (...) patients, 654 (62%) had chest pain, 229 (22%) had dyspnea, and 117 (11%) had chest pain and dyspnea. Patients with dyspnea were older (p < 0.0001) and had higher serum creatinine (p = 0.0011), lower left ventricular ejection fraction (LVEF) (p < 0.0001), more cardiogenic shock (p = 0.0004), less obstructive coronary artery disease (CAD) (p < 0.0001), less percutaneous coronary intervention (p < 0.0001), and similar 2-year mortality. Stepwise Cox regression analysis showed no significant difference

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2016 Archives of medical science : AMS

9. Appropriate Use Criteria: Imaging of the Chest

Appropriate Use Criteria: Imaging of the Chest Clinical Appropriateness Guidelines: Advanced Imaging Appropriate Use Criteria: Imaging of the Chest Effective Date: March 12, 2018 Proprietary Date of Origin: 03/30/2005 Last revised: 09/07/2017 Last reviewed: 09/07/2017 Copyright © 2018. AIM Specialty Health. All Rights Reserved 8600 W Bryn Mawr Avenue South Tower - Suite 800 Chicago, IL 60631 P . 773.864.4600 www.aimspecialtyhealth.comTable of Contents | Copyright © 2018. AIM Specialty Health (...) . All Rights Reserved. 2 Table of Contents Description and Application of the Guidelines 3 Administrative Guidelines 4 Ordering of Multiple Studies 4 Pre-test Requirements 5 Chest Imaging 6 CT of the Chest 6 CTA of the Chest (Non-Coronary) 16 MRI of the Chest 20 MRA of the Chest 23 MRI of the Breast 26Guideline Description and Administrative Guidelines | Copyright © 2018. AIM Specialty Health. All Rights Reserved. 3 AIM’s Clinical Appropriateness Guidelines (hereinafter “AIM’s Clinical

2018 AIM Specialty Health

10. Anatomy of the Superficial Fascia System of the Breast: A Comprehensive Theory of Breast Fascial Anatomy. (PubMed)

Anatomy of the Superficial Fascia System of the Breast: A Comprehensive Theory of Breast Fascial Anatomy. It has been two centuries since Petrus Camper identified superficial fascia and over 175 years since Sir Astley Cooper wrote his book on the anatomy of the breast. In the 1990s, Ted Lockwood taught us the importance of the superficial fascia layers in body contouring procedures he pioneered. These descriptions, however, fail to explain the three-dimensional fascial system in the breast (...) . The authors set out to discover and describe a theory of superficial fascia structures responsible for breast shape.The nature of the superficial fascia system that surrounds the breast and its attachments to the chest were studied in 12 cadaver breast dissections and in clinical cases of both cosmetic and reconstructive breast procedures.The authors found a three-dimensional, closed system of fascia and fat surrounding the corpus mammae, which attaches to the skin by means of specialized vertical

2018 Plastic and reconstructive surgery

11. Investigating chest pain: anatomy or function?

Investigating chest pain: anatomy or function? Investigating chest pain: anatomy or function? | Heart by Among patients with chest pain, it is unclear if anatomic assessment of coronary obstruction or functional assessment with stress testing leads to better patient outcomes. In this randomized controlled trial of 10,003 symptomatic patients, individuals were randomly assigned in a 1:1 fashion to either anatomical testing with coronary CT angiography (CTA) or to functional testing by one (...) -up of 25 months, the rate of the primary-end point was similar in patients undergoing CTA (3.3%) and functional testing (3.0%) (HR, 1.04; 95% CI, 0.83 to 1.29; P=0.75). More patients in the CTA group underwent cardiac catheterization and there was greater radiation exposure in the CTA group (12.0 mSv vs. 10.1 mSv; P<0.001) with 32.6% of patients in the functional-testing group having no radiation exposure. Conclusions In patients presenting with chest pain who require diagnostic testing

2015 Heart JournalScan Blog

12. Chronic Chest Pain - High Probability of Coronary Artery Disease

aortic pathology (eg, dissection, aneurysm, and penetrating ulcer) in patients with chronic chest pain, although CT and MRI are less invasive and simpler to perform. Magnetic resonance imaging Use of MRI for evaluating general cardiac anatomy and function and specific aspects of valvular disease, cardiomyopathies, and myocardial viability is well established. MRI myocardial perfusion techniques can be used to assess for significant CAD. The diagnostic accuracy of stress perfusion MRI has been (...) Chronic Chest Pain - High Probability of Coronary Artery Disease American College of Radiology End User License Agreement ACR Appropriateness Criteria is a registered trademark of the American College of Radiology. By accessing the ACR Appropriateness Criteria®, you expressly agree and consent to the terms and conditions as described at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/TermsandConditions.pdf Personal use of material is permitted for research, scientific and/or information

2016 American College of Radiology

13. Chest pain, Ventricular Paced Rhythm, and a Completely Normal Angiogram 3 Months Prior.

Chest pain, Ventricular Paced Rhythm, and a Completely Normal Angiogram 3 Months Prior. Dr. Smith's ECG Blog: Chest pain, Ventricular Paced Rhythm, and a Completely Normal Angiogram 3 Months Prior. Tuesday, May 29, 2018 One of our graduates, Rochelle Zarzar, who is now an education fellow, sent me this from one of the hospitals she works at now: An elderly woman presented with chest pain. She had been nauseous the night before and did not feel well, then awoke 2 hours prior with chest pain. She (...) to be (+) in just one lead . Here it is positive in 3 leads. They later found the old ECG: Paced, with (as expected) all appropriately discordant ST segments The change confirms the ECG diagnosis, which in any case should not be in question. Rochelle made the diagnosis immediately : "When they handed me that EKG, all I knew about her was the EKG itself and that she had chest pain, so I immediately called cardiology and activated the cath lab. When I spoke to cardiology, they acknowledged the ECG changes

2018 Dr Smith's ECG Blog

14. Chest Pain and RBBB. What do you think?

, worrisome chest pain in an older woman with bifascicular block and multiple ST-T wave abnormalities including ST elevation in lead V1 is indication to promptly define the anatomy by cardiac catheterization, with the goal of determining IF acute reperfusion may be of benefit for this patient. Our THANKS to Dr. Smith for presenting this SUPERB case! Posted by Steve Smith at Labels: , Reactions: 6 comments: Hi Dr. Smith, I can also see a slight widespread STD (even in th presence of RBBB + LAFB (...) Chest Pain and RBBB. What do you think? Dr. Smith's ECG Blog: Chest Pain and RBBB. What do you think? Wednesday, November 21, 2018 An elderly woman presented with 25 minutes of chest pain after working out. This ECG was texted to me and I viewed it on my phone hurriedly during a meeting: There was an old ECG with it: What do you think? The sender wrote: "I'm thinking proximal LAD or LM. Your thoughts?" I wrote: "Agree with cath lab activation. STE V1 and new RBBB and LAFB. But I'm only 50

2018 Dr Smith's ECG Blog

15. Chest Pain and Q-waves in V1 and V2. Is there previous septal MI?

young, healthy adults — since ventricular depolarization of this portion of the RV is sometimes slightly delayed relative to LV depolarization as a normal phenomenon. That said, it is even less common to see a terminal r’ in lead V2 of an otherwise healthy adult — although it still is possible ... Variation in body habitus and chest wall anatomy may also sometimes account for unexpected ECG findings ... B OTTOM L INE — As per Dr. Smith, it is EASY to follow-up on your suspicion that leads V1 (...) Chest Pain and Q-waves in V1 and V2. Is there previous septal MI? Dr. Smith's ECG Blog: Chest Pain and Q-waves in V1 and V2. Is there previous septal MI? Sunday, November 4, 2018 A middle-aged woman presented with chest pain. She had no history of cardiac disease. She had this presenting ECG: There are Q-waves in V1 and V2 The computer read was "Septal MI, age indeterminate" Is it a septal MI? Septal Q-waves may be caused by placing leads V1 and V2 too high. With downward depolarization

2018 Dr Smith's ECG Blog

16. Chest Pain, "Negative" Stress Tests, POCUS, & ECG Equations -- A Case from Salim Rezaie (R.E.B.E.L. EM)

Chest Pain, "Negative" Stress Tests, POCUS, & ECG Equations -- A Case from Salim Rezaie (R.E.B.E.L. EM) Dr. Smith's ECG Blog: Chest Pain, "Negative" Stress Tests, POCUS, & ECG Equations -- A Case from Salim Rezaie (R.E.B.E.L. EM) Monday, April 30, 2018 This case is posted by Salim Rezaie (@srrezaie) It has some peer review by me at the end, so we're co-posting !! Chest Pain, "Negative" Stress Tests, POCUS, & ECG Equations by Salim Rezaie I was working a busy shift in the ED, like many of us do (...) , and the next patient I was going to see was a 57 year old male with no real medical problems complaining of chest pain. I remember thinking as I walked into the room this guy looks ashen and diaphoretic….he doesn’t look well. He is a paramedic telling me how he has been having off and on chest pain for the past several months. He just had a stress test two months ago that was “negative”. Today he was working on his pool and developed the same chest discomfort as he had been having off and on the past

2018 Dr Smith's ECG Blog

17. HDL cholesterol, leptin and interleukin-6 predict high risk coronary anatomy assessed by CT angiography in patients with stable chest pain. (PubMed)

HDL cholesterol, leptin and interleukin-6 predict high risk coronary anatomy assessed by CT angiography in patients with stable chest pain. Coronary computed tomography angiography (CTA) describes several features of coronary plaques, i.e. location, severity, and composition. Integrated CTA scores are able to identify individual patterns of higher risk. We sought to test whether circulating biomarkers related with metabolism and inflammation could predict high risk coronary anatomy at CTA (...) and 0.71, respectively, P < 0.001). These three biomarkers were significantly altered in patients with mixed or non-calcified plaques.In patients with stable chest pain, low HDL cholesterol, low leptin and high IL-6 are independent predictors of high risk coronary anatomy as defined by an integrated CTA risk score.Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

2015 Atherosclerosis

18. Anatomy and Neurophysiology of Coughing: CHEST Guideline and Expert Panel Report. (PubMed)

Anatomy and Neurophysiology of Coughing: CHEST Guideline and Expert Panel Report. Bronchopulmonary C-fibers and a subset of mechanically sensitive, acid-sensitive myelinated sensory nerves play essential roles in regulating cough. These vagal sensory nerves terminate primarily in the larynx, trachea, carina, and large intrapulmonary bronchi. Other bronchopulmonary sensory nerves, sensory nerves innervating other viscera, as well as somatosensory nerves innervating the chest wall, diaphragm

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2014 Chest

19. Subclavicular flap: A valid reconstructive option among anterior chest flaps in oral cancer patients. (PubMed)

Subclavicular flap: A valid reconstructive option among anterior chest flaps in oral cancer patients. The subclavicular pedicled flap is based on the thoracic branch of the supraclavicular artery, and it represents a versatile reconstructive option for low-middle third face defects. Since its use in head and neck surgical oncology has not been popularized yet, we propose its application for oral cavity reconstruction after cancer resection by showing favorable results.Eighteen subclavicular (...) is an excellent choice for the reconstruction of oral cavity defects. Selection of patients should exclude positive lower-third neck node and include appropriate informed consent for women due to the possibility of deformity of the breast. In our opinion, this flap has the potential for common application given its consistent anatomy and donor site advantages, including long pedicle, high pivot point, and relatively unlimited flap width.© 2019 Wiley Periodicals, Inc.

2019 Journal of Surgical Oncology

20. Demonstration of living anatomy clarifies the morphology of interatrial communications. (PubMed)

accurately be revealed using virtual dissection of CT data sets. These images, when carefully reconstructed, demonstrated the anatomy with as much accuracy as when hearts are dissected in the autopsy room. Such virtual dissection, furthermore, shows the components as they are seen within the chest, thus facilitating understanding for those intending to undertake interventional therapeutic procedures. By preparing such images, we show the complexity of the normal atrial septum and its surrounds. We show (...) Demonstration of living anatomy clarifies the morphology of interatrial communications. Inferences made regarding the postnatal anatomy of the atrial septum still tend to be based on developmental evidence. Although atrial septation is a well-defined process, it is remarkably complex and remains poorly understood. It is now established, however, that the process involves the conjugation of several myocardial structures and mesenchymal tissues of both intracardiac and extracardiac origin

2018 Heart

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