Chest Trauma

Sep 23, 2016 by in CARDIOLOGY Comments Off on Chest Trauma

Fig. 7.1. Patient presenting with a traumatic pneumothorax after blunt trauma to the chest. Black arrows denote the outline of the collapsed lung. Massive air leak suggests injury to major…

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Benign Esophageal Disorders

Sep 23, 2016 by in CARDIOLOGY Comments Off on Benign Esophageal Disorders

Fig. 8.1. Esophageal anatomy. Used with permission from the McGill University Health Centre Patient Education Office. Table 8.1. Vasculature, lymphatics, and innervation of the esophagus.   Cervical esophagus Thoracic esophagus…

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Oesophageal Cancer

Sep 23, 2016 by in CARDIOLOGY Comments Off on Oesophageal Cancer

Fig. 9.1. Natural history of Barrett’s oesophagus. Risk factors: Chronic gastroesophageal reflux disease (GERD; worse with nocturnal symptoms), risk factors for GERD (age, male, obesity, caffeine, alcohol, tobacco and spicy,…

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Lung and Airway Disorders

Sep 23, 2016 by in CARDIOLOGY Comments Off on Lung and Airway Disorders

Lung cancer TNM staging Primary tumour (T) T1 Tumour ≤3 cm diameter, surrounded by lung or visceral pleura, without invasion more proximal than lobar bronchus T1a Tumour ≤2 cm in…

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Operative and Postoperative Considerations

Sep 23, 2016 by in CARDIOLOGY Comments Off on Operative and Postoperative Considerations

  Traditional care Enhanced-recovery pathway Patient education Variable Standardized preoperative education protocol Drain (urine) Variable POD #1: removal Drain (chest tube) Variable weaning protocol POD #0: −20 cm suction   POD…

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Pleural Disorders

Sep 23, 2016 by in CARDIOLOGY Comments Off on Pleural Disorders

Spontaneous Primary Secondary –  Chronic obstructive pulmonary disease –  Bronchiolitis –  Pneumocystis infection –  Cystic fibrosis –  Asthma –  Necrotizing pneumonia –  Tuberculosis infection –  Congenital cysts –  Pulmonary fibrosis Catamenial Traumatic Blunt injury Penetrating injury Iatrogenic Barotrauma—mechanical ventilation…

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Mediastinal Disorders

Sep 23, 2016 by in CARDIOLOGY Comments Off on Mediastinal Disorders

Fig. 5.1. Medial view of the left hemithorax. Used with permission from the McGill University Health Centre Patient Education Office. Fig. 5.2. Medial view of the right hemithorax. Used with…

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Chest Wall Disorders

Sep 23, 2016 by in CARDIOLOGY Comments Off on Chest Wall Disorders

Fig. 6.1. The Haller index is the transverse chest diameter divided by the anterior–posterior diameter on CT. This patient had a Haller index of 12 before undergoing surgery. Management: surgery…

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Preoperative Evaluation of the Thoracic Patient

Sep 23, 2016 by in CARDIOLOGY Comments Off on Preoperative Evaluation of the Thoracic Patient

Fig. 1.1. Algorithm for preoperative assessment of patients undergoing lung resection [2]. One of the principal goals of preoperative evaluation is to balance the benefit of a curative-intent surgical resection…

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