Pulmonary Contusion

Question 1

________ are injuries of the lung parenchyma with hemorrhage and edema without associated laceration.

Answer 1

Pulmonary contusions

Question 2

True/False

They are the most rare intrathoracic injuries in nonpenetrating chest trauma

Answer 2

False

Most frequent

Question 3

Pulmonary Contusions occur in approximately____% of patients with significant blunt chest trauma

Answer 3

30-75

Question 4

Pulmonary contusions typically occur at the _______ and are often associated with other thoracic injuries such as rib fractures and flail chest, although they may occur alone.

Answer 4

site of impact

Question 5

what is the most common complication of pulmonary contusion?

Answer 5

Pneumonia

Question 6

Presence of pulmonary contusion is a risk factor for the development of ____________ and long-term disability as well.

Answer 6

acute respiratory distress syndrome

Question 7

Physical findings of what?
-Significant traumatic mechanism and presence of other associated thoracic and extra thoracic injuries should raise suspicion for pulmonary contusion.
-The most important sign is hypoxia.
(a) The degree of hypoxemia directly correlates with the size of the contusion.
- Large contusions will lead to significant
respiratory distress.
-Dyspnea
-Hemoptysis
-Tachycardia

Answer 7

Pulmonary contusion

Question 8

True/False

Pulmonary contusion is often silent during the initial trauma evaluation

Answer 8

True

Question 9

Radiographic findings by CXR may range from patchy interstitial infiltrates to ______.

Answer 9

complete lobar opacification

Question 10

As a result of ongoing hemorrhage and edema, radiographic evidence of contusion is usually apparent within how many hours of injury.?

Answer 10

6 Hours

Question 11

You already obtained a CXR
Since the size of the contusion may help predict the clinical course for the patient, what imaging modality may provide additional useful information?

Answer 11

thoracic CT

Question 12

Dx for Pulmonary Contusion

Answer 12

must consider causes of chest pain and dyspnea

(1) Cardiac
(2) Pulmonary
(3) Trauma
(4) GI
(5) Musculoskeletal
(6) Psych

Question 13

What is essential to preventing long-term complications of Pulmonary Contusions?

Answer 13

Early recognition and treatment

Question 14

What is the mainstay of TX for Pulmonary contusion?

Answer 14

supportive care.

• Oxygen
• Chest physiotherapy

Question 15

Pulmonary contusion if severe what is used?

Answer 15

mechanical ventilation with positive end-expiratory pressure

Question 16

Patients with radiographic evidence of pulmonary contusion or clinical findings suggestive of pulmonary contusion should be admitted for ______ and _______.

Answer 16

monitoring and respiratory support.

Question 17

Disposition of Pulmonary Contusion

Answer 17

MEDEVAC