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Cough fracture

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1. Cough fracture

Cough fracture Cough fracture 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 Cough fracture Cough fracture Aka: Cough fracture , Rib (...) Fracture due to Cough II. Pathophysiology Fatigue of lower ribs from repeated coughing III. Symptoms Accentuated by respiratory movements IV. Signs Apply pressure on remote segment of the rib Causes site pain V. Differential Diagnosis VI. Radiology: Rib XRay or Chest XRay Often normal despite Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Cough fracture." Click on the image (or right click) to open the source website in a new

2018 FP Notebook

2. Rib fractures

Rib fractures Rib fractures - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Rib fractures Last reviewed: February 2019 Last updated: April 2018 Summary Common injuries that may be due to blunt force injury, falls, non-accidental injury, aggressive CPR, severe coughing, athletic activities, or metastatic lesions and primary bone tumours. Without evidence of major injury, about 80% of rib fractures in infants (...) correlates with increased morbidity and mortality. Definition Rib fractures are common injuries that may be due to blunt force trauma, falls, non-accidental injury, aggressive cardiopulmonary resuscitation, severe coughing, athletic activities, or fractures due to primary bone tumours and metastatic lesions. Rib fractures can be relatively benign, but often may be a marker of concomitant injuries such as pneumothorax, haemopneumothorax, and/or pulmonary contusions. An increased number of fractured ribs

2018 BMJ Best Practice

3. Palliative care - cough

include: Haemodynamic changes (e.g. arrhythmias, hypotension). Ruptured blood vessels in the nose, bronchi, or eyes (causing nosebleeds, haemoptysis, conjunctival haemorrhage). Urinary incontinence (stress). Hernia. Syncope and headache. Pneumothorax and rib fractures. Vomiting. Muscular strain. [ ; ; ] Management Management : covers the potential causes of cough in palliative cancer care, and the history, examination, and investigations which may be necessary to elicit the cause of the cough (...) Palliative care - cough Palliative care - cough - NICE CKS Clinical Knowledge Summaries Share Palliative care - cough: Summary Cough is a defensive reflex that occurs in response to stimulation of irritant receptors which are found in the airways. It has two functions — to prevent foreign material entering the lower respiratory tract, and to clear secretions from the lungs and airways. Cough in people with cancer is most commonly associated with cancer of the airways, lungs, pleura

2017 NICE Clinical Knowledge Summaries

4. PReventing EXtubation FAILure Related to Cough

objectified or supposed (severe lesion of the brainstem), with a theoretical risk of tracheostomy 15. Contra-indication to mechanical cough assistance: pneumothorax or any lesion at risk of pneumothorax (such as costal fracture, emphysema, previous pneumothorax or other barotraumatism) 16. Contra-indication to Non-Invasive Ventilation: agitation, non-treated pneumothorax, thoracic wound, severe vomiting, active digestive haemorrhage with hematemesis, severe cranio-facial traumatism with pneumo-encephaly (...) PReventing EXtubation FAILure Related to Cough PReventing EXtubation FAILure Related to Cough - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. PReventing EXtubation FAILure Related to Cough (PREXFAIL

2018 Clinical Trials

5. Spontaneous fracture of sternum secondary to forceful coughing: A case report (PubMed)

Spontaneous fracture of sternum secondary to forceful coughing: A case report 26157665 2015 07 09 2018 11 13 2229-5151 5 2 2015 Apr-Jun International journal of critical illness and injury science Int J Crit Illn Inj Sci Spontaneous fracture of sternum secondary to forceful coughing: A case report. 132-3 10.4103/2229-5151.158430 Aleskerov Fred F Department of Pulmonary and Critical Care Medicine, Seton Hall University-Saint Michael's Medical Center, New Jersey, United States. Abdeen Yazan Y

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2015 International journal of critical illness and injury science

6. Semi-quantitative Cough Strength Score (SCSS)

Semi-quantitative Cough Strength Score (SCSS) Semi-quantitative Cough Strength Score (SCSS) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Semi-quantitative Cough Strength Score (SCSS) The safety (...) Summary: Cough strength score will give true prediction of Extubation outcome Condition or disease Intervention/treatment Mechanical Ventilation Other: Semiquantitative Cough Strength Score Detailed Description: Head trauma patients were evaluated for readiness to be weaned off mechanical ventilation. If they had completed an Spontaneous Breathing Trial (SBT) before extubation. To measure Semiquantitative Cough Strength Score (SCSS), the investigator will put the patients at 30° to 45°, measure SCSS

2017 Clinical Trials

7. Correlation of Two Methods for Cough Peak Flow Measurement in Intubated Patients

Correlation of Two Methods for Cough Peak Flow Measurement in Intubated Patients Correlation of Two Methods for Cough Peak Flow Measurement in Intubated Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding (...) more. Correlation of Two Methods for Cough Peak Flow Measurement in Intubated Patients (COUGH-ICU) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03357198 Recruitment Status : Completed First Posted : November 29, 2017 Last Update Posted : January 31, 2019 Sponsor: Centre Hospitalier Régional

2017 Clinical Trials

8. Quality of Life in Patients With Traumatic Rib Fracture After Rib Fracture Surgery

/treatment Phase Rib Fractures Procedure: Rib Fixation Surgery Not Applicable Detailed Description: Traumatic rib fracture is one of the most common thoracic traumas. Patients often complain of severe pain of the fracture site, especially when coughing, sneezing, inhaling and lifting arms. If there is obvious displacement of the rib fracture, there are risks of life-threatening open pneumothorax, hemothorax and internal bleeding. Multiple rib fractures may even cause flail chest, leading to respiratory (...) Quality of Life in Patients With Traumatic Rib Fracture After Rib Fracture Surgery Quality of Life in Patients With Traumatic Rib Fracture After Rib Fracture Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before

2017 Clinical Trials

9. Laryngeal fracture after coughing. (PubMed)

Laryngeal fracture after coughing. Nontraumatic laryngeal fractures are exceedingly rare disease entities. Only 3 prior instances have been described in the medical literature (Br Med J 1950;1:1052; Acta Otorrinolaringol Esp 2007;58:73-4; Otolaryngol Head Neck Surg 2012;147:801-2). We present a case of thyroid cartilage fracture and associated phlegmon formation after a vigorous coughing spell in a 47-year-old man. On presentation, the patient's symptoms included the triad of odynophagia (...) in a focal weakness in the thyroid cartilage might predispose patients to nontraumatic fractures (Otolaryngol Head Neck Surg 2012;147:801-2). Patients in prior case reports of nontraumatic laryngeal fractures presented with similar symptoms (Table). The triad of odynophagia, dysphagia, and dysphonia after a severe coughing or sneezing episode should raise the clinician's suspicion of a thyroid cartilage fracture.

2013 American Journal of Emergency Medicine

10. Whooping cough

and inguinal hernias, and rectal prolapse. Rib fracture and herniation of lumbar intervertebral discs. Urinary incontinence. Subconjunctival or scleral haemorrhage, and facial and truncal petechiae. Frequent post-tussive vomiting can lead to severe dehydration and/or malnutrition. [ ; ; ; ; ] Diagnosis Diagnosis of whooping cough Clinical features What are the clinical features? Whooping cough has 3 phases of symptoms. The catarrhal phase lasts between one and two weeks. Pertussis is rarely diagnosed (...) Whooping cough Whooping cough - NICE CKS Clinical Knowledge Summaries Share Whooping cough: Summary Whooping cough, also known as pertussis, is a highly infectious disease caused by the bacterium Bordetella pertussis . It is spread by aerosol droplets released during coughing, and disproportionately affects infants and young children. The name of the infection is derived from the characteristic 'whoops' that occur in younger children, caused by sharp inhalation of breath during bouts

2015 NICE Clinical Knowledge Summaries

11. Cough fracture

Cough fracture Cough fracture 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 Cough fracture Cough fracture Aka: Cough fracture , Rib (...) Fracture due to Cough II. Pathophysiology Fatigue of lower ribs from repeated coughing III. Symptoms Accentuated by respiratory movements IV. Signs Apply pressure on remote segment of the rib Causes site pain V. Differential Diagnosis VI. Radiology: Rib XRay or Chest XRay Often normal despite Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Cough fracture." Click on the image (or right click) to open the source website in a new

2015 FP Notebook

12. Fracture Fridays: Buckle Up!

Fracture Fridays: Buckle Up! Fracture Fridays: Buckle Up! – PEMBlog Search for: Search for: Fracture Fridays: Buckle Up! The case A young man jumps from the cough. he anticipated that he would land smoothly, and stably like his cat Whiskers. He did not land smoothly. Instead he careened off of the coffee table and awkwardly landed on his outstretched arm. He told his mom, and Whiskers. Mom was concerned because he now has a swollen and painful wrist. Whiskers, as is apropos his species could (...) care less. Fearing that his arm was broken, or worse fractured mom promptly took her son to the ED. Whiskers stayed behind. In the ED the young daredevil’s examination revealed a tender, somewhat swollen distal forearm. Examination of the distal extremity revealed no neuromuscular deficits. An X-Ray was obtained. Case courtesy of Dr Maulik S Patel, . From the case The Diagnosis This is a buckle fracture – AKA torus fracture of the distal radius. Note the circled area in the following picture which

2018 PEM Blog

13. Erector spinae plane block may aid weaning from mechanical ventilation in patients with multiple rib fractures: Case report of two cases (PubMed)

Erector spinae plane block may aid weaning from mechanical ventilation in patients with multiple rib fractures: Case report of two cases Uncontrolled pain in patients with rib fracture leads to atelectasis and impaired cough which can progress to pneumonia and respiratory failure necessitating mechanical ventilation. Of the various pain modalities, regional anaesthesia (epidural and paravertebral) is better than systemic and oral analgesics. The erector spinae plane block (ESPB) is a new (...) modality in the armamentarium for the management of pain in multiple rib fractures, which is simple to perform and without major complications. We report a case series where ESPB helped in weaning the patients from mechanical ventilation. Further randomised controlled studies are warranted in comparing their efficacy in relation to other regional anaesthetic techniques.

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2018 Indian journal of anaesthesia

14. Lidocaine Infusions for Rib Fractures

Lidocaine Infusions for Rib Fractures Lidocaine Infusions for Rib Fractures - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Lidocaine Infusions for Rib Fractures (Lidocare) The safety and scientific (...) University Study Details Study Description Go to Brief Summary: Patients with traumatic rib fractures not receiving regional anesthesia through a epidural or nerve block catheter will be recruited for the study. Once enrolled, they will be randomized to receive either intravenous lidocaine or intravenous saline for control of pain related to their rib fractures. In addition, they will receive other pain medications, such as acetaminophen, gabapentin, and opioid pain medications. Our primary outcome

2018 Clinical Trials

15. Oral administration of probiotic Lactobacillus casei Shirota relieves pain after single rib fracture: a randomized double-blind, placebo-controlled clinical trial. (PubMed)

fracture were enrolled and randomly assigned to receive skimmed milk containing either a commercial probiotic LcS or placebo every day through oral administration for 1 month after the fracture. The pain relief effect was assessed during activities that elicited pain; meanwhile, sleep quality and sustained maximal inspiration (SMI) lung volumes were monitored.Patients in the LcS group had more effective pain relief than those in the placebo group during deep breathing, coughing and turning over (...) Oral administration of probiotic Lactobacillus casei Shirota relieves pain after single rib fracture: a randomized double-blind, placebo-controlled clinical trial. Probiotic treatment has proven to increase the density of bone mass, prevent against bone loss, and improve bone formation. We aimed to assess the effect of oral administration of the probiotic Lactobacillus casei Shirota (LcS) on pain relief in patients with single rib fracture.A total of 283 eligible patients who had a single rib

2018 Asia Pacific journal of clinical nutrition

16. Two Different Concentrations of Ketofol for Procedural Sedation and Analgesia in Closed Reduction of Nasal Fracture. (PubMed)

Two Different Concentrations of Ketofol for Procedural Sedation and Analgesia in Closed Reduction of Nasal Fracture. Ketofol is a mixture of propofol and ketamine in various concentrations. It is accepted as a suitable combination in procedural sedation and analgesia. The mixture of propofol and ketamine with different respiratory and hemodynamic effects may result in fewer dose-related side effects and a probable synergistic effect. This study was designed to compare the adverse effects (...) effects such as hallucination, vomiting, coughing and apnea, were recorded.Data analysis showed that the demographic characteristics (age, height, and weight) were similar in 2 groups, and there were no significant differences between the 2 groups. There was no significant hemodynamic change between both groups. However, there was a decrease in hallucination and vomiting in the group that received higher concentration of ketofol (ketamine/propofol of 1:3).There was no significant hemodynamic change

2017 The Journal of craniofacial surgery

17. PEF-Block & Ribs Fractures

Description Go to Brief Summary: Rib fractures are frequent injuries found approximately in 10% severe trauma patient. Rib fractures were correlated in many studies with a higher morbidity and mortality. This impaired outcome is mainly due to pulmonary complications consequences including especially pulmonary contusions. Frequently, patients present difficulty deep breathing and coughing. These adverse effects can lead to the development of atelectasis, hypoxia, and respiratory failure with mechanic (...) PEF-Block & Ribs Fractures PEF-Block & Ribs Fractures - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. PEF-Block & Ribs Fractures (PEF) The safety and scientific validity of this study is the responsibility

2017 Clinical Trials

18. Ankylosing Spondylitis : Carrot Stick Fracture

Ankylosing Spondylitis : Carrot Stick Fracture Ankylosing Spondylitis : Carrot Stick Fracture - Sumer's Radiology Blog Top Ad unit 728 × 90 Radiology News radiology Ankylosing Spondylitis : Carrot Stick Fracture Ankylosing Spondylitis : Carrot Stick Fracture Sumer Sethi About Dr. Sumer Sethi Number of Entries : 35 Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi (...) international journals. Musculoskeletal MRI No comments: Subscribe to: Search This Blog Labels Popular Posts Teaching points by Dr MGK Murthy Pedicloryl has now become omnipresent in all Radiology departments for sedating children. Chemic... Young adult presented with lateral force injury and right nasal bone tenderness pictures show possible high fracture of right side better ... We live in an era where a scientist has to think about being politically correct. Think about

2017 Sumer's Radiology Blog

19. Second Metatarsal Fracture Non Union : CT

Second Metatarsal Fracture Non Union : CT Second Metatarsal Fracture Non Union : CT - Sumer's Radiology Blog Top Ad unit 728 × 90 Radiology News radiology Second Metatarsal Fracture Non Union : CT Second Metatarsal Fracture Non Union : CT Second Metatarsal Fracture Non Union : CT Reviewed by Sumer Sethi on Thursday, April 20, 2017 Rating: 5 Tags : Sumer Sethi About Dr. Sumer Sethi Number of Entries : 35 Unique blend of academic excellence and entrepreneurship, heading leading firms in India (...) and in maintaining his famous radiology blog, which has been featured in multiple international journals. Musculoskeletal radiology No comments: Subscribe to: Search This Blog Labels Popular Posts Teaching points by Dr MGK Murthy Pedicloryl has now become omnipresent in all Radiology departments for sedating children. Chemic... Young adult presented with lateral force injury and right nasal bone tenderness pictures show possible high fracture of right side better ... We live in an era where a scientist has

2017 Sumer's Radiology Blog

20. Depressed Fracture: NCCT

Depressed Fracture: NCCT Depressed Fracture: NCCT - Sumer's Radiology Blog Top Ad unit 728 × 90 Radiology News radiology Depressed Fracture: NCCT Depressed Fracture: NCCT Depressed Fracture: NCCT Reviewed by Sumer Sethi on Wednesday, April 26, 2017 Rating: 5 Tags : Sumer Sethi About Dr. Sumer Sethi Number of Entries : 35 Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (...) international journals. Neuroradiology No comments: Subscribe to: Search This Blog Labels Popular Posts Teaching points by Dr MGK Murthy Pedicloryl has now become omnipresent in all Radiology departments for sedating children. Chemic... Young adult presented with lateral force injury and right nasal bone tenderness pictures show possible high fracture of right side better ... We live in an era where a scientist has to think about being politically correct. Think about

2017 Sumer's Radiology Blog

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