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Cough fracture

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1281. Heavy Metal Poisoning

is an occupational illness due to exposure to fumes during welding). It presents with: Metallic taste and increased salivation. Nausea, vomiting and diarrhoea. Impaired sensation. Difficulty breathing, cough, chest pain. Complications include pneumonitis and pulmonary oedema. Chronic exposure may cause anaemia, emphysema or renal failure and cadmium may be a risk factor in the development of prostate or lung cancer. At present there is no effective therapy for cadmium poisoning; treatment is supportive (...) -93. Berlin M, Zalups RK, Fowler BA. Mercury. In: Nordberg GF, Fowler BA, Nordberg M, Friberg LT, editors; Handbook on the Toxicology of Metals. 3rd edition. Chapter 33. New York. Elsevier 2007. hi there, my 15-yr old daughter sprained was diagnosed with a grade 2 sprain 8 days ago. no fracture. she has a boot and crutches and is very hesitant to put any weight on the foot even with the boot... marilyn38669 Health Tools Feeling unwell? Assess your symptoms online with our free symptom checker

2008 Mentor

1282. Eye Trauma

. In this article In This Article Eye Injuries In this article Eye injuries are a common cause of emergency department attendances. Eye trauma should always be fully assessed, as penetrating injuries are otherwise easily missed but can rapidly lead to sight-threatening infections. This article covers the assessment of eye injury including blunt trauma, orbital fracture, lid laceration, glue in the eye, chemical and deterrent spray injuries and signs suggesting non-accidental injury (NAI). Specific practical (...) as your equipment allows. You may need local anaesthetic if the patient cannot open their eyes due to pain: Orbits and lids : lacerations, subcutaneous emphysema, bruising, deformity of the orbital rim, oedema. Evert lids: If you think there may be a fracture, measure the medial intercanthal distance (this should be 35-40 mm in adults). Consider whether bilateral bruising could actually be due to a base of skull fracture rather than an eye injury. (Conversely, rule out eye injury in the patient

2008 Mentor

1283. Foreign Body in the Eye

injury is suspected. Orbits and lids Look for lacerations, subcutaneous emphysema, bruising, deformity of the orbital rim, oedema. If fracture is suspected, measure the medial intercanthal distance (this should be 35-40 mm in adults). Where there is bilateral periorbital bruising, consider the possibility of a base of skull fracture rather than an eye injury. Evert the lids (unless lacerated) to look for FBs. Conjunctiva Look for haemorrhage and lacerations (small lacerations may show up on staining (...) it. Subconjunctival haemorrhage/conjunctival laceration: in the context of eye trauma, can indicate open globe injury, especially if there is severe or diffuse haemorrhage. If it tracks posteriorly, it may indicate fracture. Pupil, iris or fundal abnormalities: Hyphaema, irregular pupil or decreased IOP suggest that an object has gone at least into the anterior chamber. Hyphaema indicates significant eye injury. Teardrop-shaped pupil indicates open globe injury. Vitreous haemorrhage suggests injury

2008 Mentor

1284. Endoscopic Suspension of the Vesical Neck for Urinary Incontinence in Females: Report on 203 Consecutive Patients Full Text available with Trip Pro

incontinence, and severe pelvic fractures. Between December 1973 and May 1979, 203 patients underwent 211 operations with a minimum of six months of follow-up study at final review (November 1979). Twenty per cent of the patients were totally incontinent on referral, and 60 per cent lost urine with minimal activity; only 20 per cent of the patients had typical stress urinary incontinence, requiring coughing or sneezing to lose urine. Among the 203 patients, there were 188 previous operations for urinary

1980 Annals of Surgery

1285. fracture (rib)

fracture (rib) fracture (rib) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search fracture (rib) Fractured ribs are almost always a result of direct force although in osteoporotic patients something as small as a cough or sneeze can fracture a rib. The patient complains of a sharp pain in the chest which is made worse by deep breathing and coughing. On examination if the chest wall is compressed ('sprung (...) ') in the anteroposterior direction the pain is aggravated. X-ray shows the fracture(s), usually near the rib angle. Treatment in the majority of cases involves nothing more than the injection of a local anaesthetic and the encouragement of a normal pattern of breathing. In rare cases a bone fragment may puncture the lung resulting in a pneumothorax. Once the pneumothorax has been treated it should be remembered that the fracture is now a compound one and antibiotics should be given. Links: General Practice Notebook

2010 GP Notebook

1286. rib fracture

rib fracture rib fracture - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search rib fracture Fractured ribs are almost always a result of direct force although in osteoporotic patients something as small as a cough or sneeze can fracture a rib. The patient complains of a sharp pain in the chest which is made worse by deep breathing and coughing. On examination if the chest wall is compressed ('sprung') in the anteroposterior (...) direction the pain is aggravated. X-ray shows the fracture(s), usually near the rib angle. Treatment in the majority of cases involves nothing more than the injection of a local anaesthetic and the encouragement of a normal pattern of breathing. In rare cases a bone fragment may puncture the lung resulting in a pneumothorax. Once the pneumothorax has been treated it should be remembered that the fracture is now a compound one and antibiotics should be given. Links: General Practice Notebook General

2010 GP Notebook

1287. Hip Fracture Study of GSK576428 (Fondaparinux Sodium)

Hip Fracture Study of GSK576428 (Fondaparinux Sodium) Hip Fracture Study of GSK576428 (Fondaparinux Sodium) - 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. Hip Fracture Study of GSK576428 (Fondaparinux (...) Evaluation of GSK576428 (Fondaparinux Sodium) in Prevention of Venous Thromboembolism After Hip Fracture Surgery Actual Study Start Date : February 16, 2006 Actual Primary Completion Date : October 26, 2006 Actual Study Completion Date : October 26, 2006 Resource links provided by the National Library of Medicine related topics: available for: Arms and Interventions Go to Outcome Measures Go to Primary Outcome Measures : Rate of Major Bleeding During Treatment Period [ Time Frame: From the first study

2006 Clinical Trials

1288. Factors leading to tracheobronchial self-expandable metallic stent fracture. Full Text available with Trip Pro

presentations for patients with fractured self-expandable metallic stents included dyspnea exacerbation (70.6%, 12/17) and cough (23.5%, 4/17).Self-expandable metallic stent fracture is not uncommon in patients with tracheobronchial disease. Tortuous airway is an independent predictor for it. Although management of the fractured self-expandable metallic stent in our study was feasible and safe, self-expandable metallic stents should be restricted to a more select population. (...) Factors leading to tracheobronchial self-expandable metallic stent fracture. This retrospective study was to determine factors that contribute to self-expandable metallic stent fracture in patients with tracheobronchial disease.From 2001 to 2006, 139 patients (age, 62.1 +/- 15.4 years; range, 23-87 years) with benign (n = 62) and malignant (n = 77) tracheobronchial disease received 192 Ultraflex (Boston Scientific, Natick, Mass) self-expandable metallic stents (98 in patients with benign

2008 Journal of Thoracic and Cardiovascular Surgery

1289. Bordetella Pertussis (Whooping Cough)

. Otherwise, management is supportive and involves symptomatic relief. No symptomatic measures have yet been proven effective in clinical trials. [ ] Complications [ ] The more severe complications and deaths occur mostly in infants aged less than 6 months. Complications include: . Apnoea. Seizures. . . . Weight loss. Problems caused by raised intra-thoracic or intra-abdominal pressure during coughing such as: Fractured ribs. . or other hernias. . . . Petechiae. Prognosis [ ] The most severe infections (...) Bordetella Pertussis (Whooping Cough) Whooping Cough, Bordetella Pertussis Symptoms | Doctor | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Whooping Cough Authored by , Reviewed by | Last edited 23 Oct 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK

2008 Mentor

1290. Aortic Graft Pseudoaneurysm Secondary to Fracture of Sternal Wires Full Text available with Trip Pro

Aortic Graft Pseudoaneurysm Secondary to Fracture of Sternal Wires A 74-year-old man with a previously placed ascending aortic graft was admitted to our hospital with a pulsating sternal mass, 2 days after an episode of severe coughing. Six months earlier, computed tomographic scanning had shown an intact aortic graft and no sternal wire fracture, but the wires had cut through the sternum. Computed tomographic scans at the current admission showed the patient to have 2 perforations (...) of the ascending aortic graft, which led to 2 pseudoaneurysms and a large subcutaneous hematoma. In another view, a fractured sternal wire could be seen leading to one of the pseudoaneurysms. We performed emergent surgery and found sternal separation, as well as 2 holes in the graft that coincided with the location of the fractured sternal wires. We successfully patched the graft; however, the patient had a cerebral ischemic stroke and died 2 weeks postoperatively. This case emphasizes the importance of early

2003 Texas Heart Institute Journal

1291. Continuous thoracic paravertebral infusion of bupivacaine for pain management in patients with multiple fractured ribs. (Abstract)

Continuous thoracic paravertebral infusion of bupivacaine for pain management in patients with multiple fractured ribs. To evaluate the efficacy of a continuous thoracic paravertebral infusion of bupivacaine for pain management in patients with unilateral multiple fractured ribs (MFR).Prospective nonrandomized case series.Multidisciplinary tertiary hospital.Fifteen patients with unilateral MFR.Insertion of a catheter into the thoracic paravertebral space. We administered an initial injection (...) of 0.3 mL/kg (1.5 mg/kg) bupivacaine 0.5% with 1:200,000 epinephrine followed 30 min later by an infusion of bupivacaine 0.25% at 0.1 to 0.2 mL/kg/h for 4 days.The following parameters were measured during the initial assessment before thoracic paravertebral block (TPVB), 30 min after the initial injection, and during follow-up on day 1 and day 4 after commencing the infusion of bupivacaine: visual analog pain score at rest and during coughing; respiratory rate; arterial oxygen saturation (SaO(2

2003 Chest

1292. Candesartan Cilexetil is not Associated with Cough in Patients with Enalapril-induced Cough. (Abstract)

. No serious adverse events occurred in the candesartan cilexetil or placebo groups, while three patients in the enalapril group reported serious adverse events (chest pain, agranulocytosis, accidental fracture). No treatment-related changes of clinical relevance could be found with regard to laboratory variables, ECG or vital signs/physical findings, except the anticipated blood pressure reduction in the active treatment groups. In conclusion, candesartan cilexetil is not associated with cough (...) Candesartan Cilexetil is not Associated with Cough in Patients with Enalapril-induced Cough. Treatment with angiotensin-converting enzyme (ACE) inhibitors is frequently associated with persistent dry cough. This side effect is thought to be due to the non-specific action of ACE inhibitors, which, in addition to suppressing the renin-angiotensin system (RAS), leads to the accumulation of kinins, encephalins and other biologically active peptides. Candesartan cilexetil is a new, long-acting

2000 Blood pressure Controlled trial quality: uncertain

1293. Cough induced rib fracture, rupture of the diaphragm and abdominal herniation Full Text available with Trip Pro

Cough induced rib fracture, rupture of the diaphragm and abdominal herniation Cough can be associated with many complications. In this article, we present a 59 year old male patient with a very rare combination of a cough related stress fracture of the ninth rib, a traumatic rupture of the diaphragm, and an abdominal wall herniation. The hernia was repaired through surgical treatment without bowel resection, the diaphragm and the internal and oblique abdominal muscle were adapted (...) , and the abdomen was reinforced with a prolene net. Although each individual injury is well documented in the literature, the combination of rib fracture, abdominal herniation and diaphragm rupture has not been reported.

2006 World Journal of Emergency Surgery

1294. Cough-induced rib fractures. (Abstract)

Cough-induced rib fractures. To define the demographic, clinical, and radiological features of patients with cough-induced rib fractures and to assess potential risk factors.For this retrospective, single-center study, we identified all cases of cough-induced rib fractures diagnosed at the Mayo Clinic in Rochester, Minn, over a 9-year period between January 1, 1996, and January 31, 2005. Bone densitometry data from patients' medical records were analyzed, and T scores were used to classify (...) patients into bone density categories.The mean +/- SD age of the 54 study patients at presentation was 55+/-17 years, and 42 patients (78%) were female. Patients presented with chest wall pain after onset of cough. Rib fracture was associated with chronic cough (> or =3 weeks' duration) in 85% of patients. Rib fractures were documented by chest radiography, rib radiography, computed tomography, or bone scan. Chest radiography had been performed in 52 patients and revealed rib fracture in 30 (58

2005 Mayo Clinic Proceedings

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