Sheet Search Output

by skaggarwal

HTML

<table border="1" class="dataframe">
  <thead>
    <tr style="text-align: left;">
      <th></th>
      <th>Disease</th>
      <th>Definition/Recognition</th>
      <th>Management</th>
      <th>Miscellaneous</th>
    </tr>
  </thead>
  <tbody>
    <tr>
      <th>14</th>
      <td>Blunt Chest Trauma</td>
      <td>Hemodynamically unstable<br>1) Resuscitation + evaluation --&gt; eFAST, chest CT, EKG +/- stabilizing intervention<br>2) OR thoracotomy if unstable after stabilization is attempted<br><br>Hemodynamically stable<br>1) High risk mechanism (e.g. MVC) or serious injury on examination --&gt; eFAST, chest CT, EKG<br>2) Once stable, additional tests e.g. CT chest can be done if initially unstable or abnormal findings on CXR, EKG<br><br>• Everyone basically gets CT Chest, EKG eventually</td>
      <td>• All should receive CXR after primary trauma survey<br>- Widened mediastinum or abnormal aortic contour are concerning for aortic injury or esophageal rupture<br>- Hemothorax may also be a sign<br><br>• Esophageal rupture = widened mediastinum, crepitus, pleural effusion with yellow/green fluid and high amylase<br><br>Bronchial rupture = persistent, large air leak into chest tube, pneumothorax accumulation, subcutaneous emphysema <br>• Bronchoscopy provides definitive diagnosis as high-resolution CT scan may miss small tears --&gt; operative repair<br><br>• Myocardial contusion = main risk is arrhythmias --&gt; EKG and Tn<br>• Massive hemoptysis should be evaluated by bronchoscopy = diagnostic and therapeutic</td>
      <td></td>
    </tr>
    <tr>
      <th>331</th>
      <td>Esophageal Perforation</td>
      <td>• Chest/back/epigastric pain + systemic signs (fever) + crepitus or Hamman sign (crunching on auscultation) + pleural effusion (GI contents)<br><br>Causes <br>• Ingestion, malignancy, foreign body <br>• Iatrogenic e.g. pneumatic dilation for achalasia, transesophageal echocardiogram<br>• Increased intaesophageal pressure --&gt; Boerhaave syndrome...