1. Thoracic Pathology.
JUAN ALFONSO CARDENAS RAMOS
September 2011
Dr.Hector Manuel Virgen Ayala.
Dr. Benjamin Robles Mariscal.

2. Thoracic Pathology.
ANATOMY
• The chest wall is an
expandable cover.
• Lung ventilation was carried
out, tanks to a positive
pressure generated inside
the chest.
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m/pi/emed/ckb

3. Thoracic Pathology.
ANATOMY Anterior.
Shaped supra
esternal
18 cm
Xiphoid process
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//www.hillsboroughcounty.org

4. Thoracic Pathology.
ANATOMY
Lateral.
10 pairs of upper ribs.
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ked/

5. Thoracic Pathology.
ANATOMY
posterior
Made up of 12 thoracic
vertebrae.
Underside.
2 pairs of clavicles.
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.co.uk

6. Thoracic Pathology.
Chest injury.
This contributes to 50% of
deaths due to trauma.
Which may be mainly.
1.-obtruccion of the airways.
2.-thoracic unstable.
3.-open pneumotorax
4.-massive hemothorax.
5.-tension pneumothorax.
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6.-cardiac tamponade. ogy.com

7. Thoracic Pathology.
Chest injury.
Almost all blunt trauma
resulting from automobile
accidents.
Penetrating chest injuries from
knives bullets, etc. They are
deadly.
Mortality %
Isolated lesion 4-8%
With other organs affected 10-15%
Injured several organs 35%

8. Thoracic Pathology.
Chest wall lesions. Treatment:
Fractured Ribs Analgesics or intercostal nerve
blocks.
The most common rage from
simple fracture with
hemopneumotorax, taking the
pain as a symptom as the main
ispiration.
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w.aurorahealthcare.org

9. Thoracic Pathology.
Chest wall lesions.
Trachea and bronchi:
Blunt trauma are usually due to
tracheobronchial compression
of the airways in the sternum
and spine.
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rg

10. Thoracic Pathology.
Pleural disordes:
Pleural effusion:
Is fluid penetration of the
pleural space, its called
Pneumothorax.
Hemothorax.
Hydrothorax.
Chylothorax.
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11. Thoracic Pathology.
Pleural disordes:
Pneumothorax.
Appointed to the presence of air
or gas in the pleural cavities and
can be spontaneous, traumatic
or therapeutic. It can also mean
air leakage or communication
between the spaces.
80%- can be hemopneumothorax Font:http://medicovsmonstro.blogspot.com
/2010/06/pneumotorax.html

12. Thoracic Pathology.
Pleural disordes:
Hemothorax.
Condition that results from
blood accumulating in
the pleural cavity.
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magen
Classification Ml
Minimum 350ml
Moderate 350 – 1500 ml
Massive. More than 1500ml

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ter.com/Medscape
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14. Thoracic Pathology.
Pleural disordes:
Hydrothorax.
A hydrothorax is a condition that
results from serous
fluid accumulating in the pleural
cavity
In malignan disease
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In cardiovascular disease

15. Thoracic Pathology.
Pleural disordes:
Hydrothorax.
with nephropathy
with pancreatitis.
with cirrosis.
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p.blogspot.com/-AiVFJc0DiSY

16. Thoracic Pathology.
Pleural disordes:
Chylothorax.
It is a milky fluid
accumulation, usually of
lymphatic origin, in the pleural
cavity is usually bilateral but
may be more common in left
side.
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17. Thoracic Pathology.
Diagnosis.
In most of these diagnosis.
are clinical
with dulleness to percusion
Decreased breath sounds.
Radiography with plenty water
or air.
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doyma.es/ficheros

18. Thoracic Pathology.
Treatment.
• Thoracostomy.
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p://www.uihealthcare.org