Diaphragmatic trauma
Background
- Associated w/ GSW to lower chest/upper abdomen
- Rarely a/w blunt trauma
- If missed can lead to herniation of abd viscera and to a tension enterothorax
- Most commonly left sided
Clinical Features
- SOB
- Diminished breath sounds on side of rupture
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Diagnosis
- CT C/A/P w/ contrast
- Pass OG tube and check if tube curves up from abdomen into the chest
- Upper GI series (looking for viscera in the chest)
Management
Disposition
- Admit