Cardiac contusion: Difference between revisions
(added info on dysrythemias, from Rosens P445) |
(updated formatting, added references section - will need further clean-up) |
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| Line 7: | Line 7: | ||
*Tachy | *Tachy | ||
*Dyspnea/SOB | *Dyspnea/SOB | ||
==Differential Diagnosis== | |||
{{Thoracic trauma DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
| Line 21: | Line 24: | ||
*Echo | *Echo | ||
**Can aid in further determining the extent of damage | **Can aid in further determining the extent of damage | ||
==Treatment== | ==Treatment== | ||
#Treat | #Treat arrhythmia prn | ||
##Do NOT treat prophylacticly (incr mort!) | ##Do NOT treat prophylacticly (incr mort!) | ||
#NO thrombolitics for AMI here (incr mort) | #NO thrombolitics for AMI here (incr mort) | ||
| Line 42: | Line 42: | ||
==See Also== | ==See Also== | ||
[[Thoracic Trauma]] | [[Thoracic Trauma]] | ||
==References== | |||
<References/> | |||
[[Category:Cards]] | [[Category:Cards]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 22:47, 19 July 2015
Background
- MVC with chest striking the steering wheel
Clinical Features
- Chest pain
- Palpitations
- Tachy
- Dyspnea/SOB
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Diagnosis
- Physical
- New murmur
- EKG
- most common abnormality in order
- Sinus tachy
- PVCs
- A. fib
- Dysrythmia can be delayed for up to 12 hours
- most common abnormality in order
- Do NOT need enzymes but can help dx
- Positive Trop
- Echo
- Can aid in further determining the extent of damage
Treatment
- Treat arrhythmia prn
- Do NOT treat prophylacticly (incr mort!)
- NO thrombolitics for AMI here (incr mort)
severity depends on underlying cad b/c inflamm chngs= redistribute coronary flow that may= ischemic cp.
Disposition
Observation for 6 hours
Admit (tele) for:
- abnl physical
- abnl ekg
- hypotension