Sandbox:Trusha: Difference between revisions
Trushatank (talk | contribs) No edit summary |
Trushatank (talk | contribs) No edit summary |
||
Line 15: | Line 15: | ||
*** [[Pemberton's sign]]: Development of suffusion, [[plethora]], or duskiness upon elevation of the arms above the head in patient | *** [[Pemberton's sign]]: Development of suffusion, [[plethora]], or duskiness upon elevation of the arms above the head in patient | ||
*** [[Superior vena cava syndrome]] is the most severe [[Complication (medicine)|complication]] of [[mediastinal syndrome]] and a [[medical emergency]]. | *** [[Superior vena cava syndrome]] is the most severe [[Complication (medicine)|complication]] of [[mediastinal syndrome]] and a [[medical emergency]]. | ||
<small><nowiki/></small><small><nowiki/></small><small><nowiki/></small><small><nowiki/></small><small><nowiki/></small><small><nowiki/></small> | |||
{| | |||
| colspan="10" |'''<small>ABBREVIATIONS''': '''N/A''': Not available, '''SOB''': Shortness of breath, '''M/C''': Most common, '''RI''': Respiratory insufficiency, '''NM''': Neuromuscular system, '''SVCS''': Superior vena cava syndrome, '''SLE''': Systemic lupus erythematosus disease, '''T3:''' Triiodothyronine, '''T4:''' Thyroxine, '''TSH:''' Thyroid stimulating hormone, '''TFT:''' Thyroid functio</small> | |||
{| | {| | ||
| colspan=" | | colspan="9" |<small><nowiki/></small><small><nowiki/></small>'''<small>ABBREVIATIONS''': '''N/A''': Not available, '''SOB''': Shortness of breath, '''M/C''': Most common, '''RI''': Respiratory insufficiency, '''NM''': Neuromuscular system, '''SVCS''': Superior vena cava syndrome, '''SLE''': Systemic lupus erythematosus disease, '''T3:''' Triiodothyronine, '''T4:''' Thyroxine, '''TSH:''' Thyroid stimulating hormone, '''TFT:''' Thyroid function test</small><small><nowiki/></small><small><nowiki/></small> | ||
|} | |||
n</small> | |||
|- | |- | ||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Class''' | ! colspan="0" rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Class''' | ||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Disease''' | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Disease''' | ||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Causes/risk factors''' | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Causes/risk factors''' | ||
Line 34: | Line 38: | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard''' | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard''' | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Image''' | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Image''' | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Additional | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Additional fi''' | ||
| | {| | ||
! colspan="9" |Anterior mediastinal mass | |||
! colspan=" | |} | ||
ti | |||
|- | |- | ||
| rowspan="8" style="background: #4479BA; color: #FFFFFF; padding: 5px;" |'''Tumors''' | | colspan="0" rowspan="8" style="background: #4479BA; color: #FFFFFF; padding: 5px;" |'''Tumors''' | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Thymoma|'''Thymoma''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Thymoma|'''Thymoma''']] | ||
<ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref> | <ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* [[Human foamy virus]] | * [[Human foamy virus|Human foam]]<small><nowiki/></small><small><nowiki/></small>[[Human foamy virus|y virus]] | ||
* [[Epstein-Barr virus]] | * [[Epstein-Barr virus]] | ||
* Human T-cell lymphotropic virus | * Human T-cell lymphotropic virus | ||
Line 267: | Line 272: | ||
*Detect recurrences | *Detect recurrences | ||
*Quantitate the size of lymph nodes with precision | *Quantitate the size of lymph nodes with precision | ||
*Assess for bone marrow | *Assess for bone marrow invol | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |atous) | ||
<ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref> | <ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref> | ||
Line 302: | Line 306: | ||
* [[Pleural effusion|Pleural]] and [[pericardial effusion]] | * [[Pleural effusion|Pleural]] and [[pericardial effusion]] | ||
Laboratory finding: | Laboratory finding: | ||
* [[Alpha-fetoprotein|AFP]] and [[Beta-hCG|ß-hCG]] | * [[Alpha-fetoprotein|AFP]] and [[Beta-hCG|ß-hCG]] | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Teratoma|''' | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Teratoma|'''ma''']] | ||
<ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref><ref name="pmid24426558">{{cite journal |vauthors=Yalagachin GH |title=Anterior mediastinal teratoma- a case report with review of literature |journal=Indian J Surg |volume=75 |issue=Suppl 1 |pages=182–4 |date=June 2013 |pmid=24426558 |doi=10.1007/s12262-012-0569-6 |url=}}</ref><ref name="pmid26251691">{{cite journal |vauthors=No TH, Seol SH, Seo GW, Kim DI, Yang SY, Jeong CH, Hwang YH, Kim JY |title=Benign Mature Teratoma in Anterior Mediastinum |journal=J Clin Med Res |volume=7 |issue=9 |pages=726–8 |date=September 2015 |pmid=26251691 |pmc=4522994 |doi=10.14740/jocmr2270w |url=}}</ref> | <ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref><ref name="pmid24426558">{{cite journal |vauthors=Yalagachin GH |title=Anterior mediastinal teratoma- a case report with review of literature |journal=Indian J Surg |volume=75 |issue=Suppl 1 |pages=182–4 |date=June 2013 |pmid=24426558 |doi=10.1007/s12262-012-0569-6 |url=}}</ref><ref name="pmid26251691">{{cite journal |vauthors=No TH, Seol SH, Seo GW, Kim DI, Yang SY, Jeong CH, Hwang YH, Kim JY |title=Benign Mature Teratoma in Anterior Mediastinum |journal=J Clin Med Res |volume=7 |issue=9 |pages=726–8 |date=September 2015 |pmid=26251691 |pmc=4522994 |doi=10.14740/jocmr2270w |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
Line 326: | Line 330: | ||
* Fat | * Fat | ||
* Calcification | * Calcification | ||
| style="background: #F5F5F5 | | style="background: #F5F5F5; padding: 5px;" |'''id disease''' | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Thyroid cancer]]''' | | style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Thyroid cancer]]''' | ||
<ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref> | <ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref> | ||
Line 393: | Line 394: | ||
* Hashimoto thyroiditis | * Hashimoto thyroiditis | ||
Normal functioning gland (euthyroid): | Normal functioning gland (euthyroid): | ||
* Benign thyroid enlargement (non toxic multinodular | * Benign thyroid enlargement (non toxic multinodular g | ||
|- | |- | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Class''' | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Class''' | ||
Line 405: | Line 406: | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard''' | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard''' | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Image''' | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Image''' | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Additional | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Additional fi''' | ||
| | {| | ||
! colspan="9" |Middle mediastinal mass | |||
! colspan=" | |} | ||
| | ti'''VS disease''' | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pericardial effusion|'''Pericardial effusion''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Pericardial effusion|'''Pericardial effusion''']] | ||
<ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref><ref name="pmid26317273">{{cite journal |vauthors=Vanneman MW, Fikry K, Quraishi SA, Schoenfeld W |title=A Young Man with a Mediastinal Mass and Sudden Cardiac Arrest |journal=Ann Am Thorac Soc |volume=12 |issue=8 |pages=1235–9 |date=August 2015 |pmid=26317273 |doi=10.1513/AnnalsATS.201504-212CC |url=}}</ref><ref name="pmid10579740">{{cite journal |vauthors=Salem K, Mulji A, Lonn E |title=Echocardiographically guided pericardiocentesis - the gold standard for the management of pericardial effusion and cardiac tamponade |journal=Can J Cardiol |volume=15 |issue=11 |pages=1251–5 |date=November 1999 |pmid=10579740 |doi= |url=}}</ref> | <ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref><ref name="pmid26317273">{{cite journal |vauthors=Vanneman MW, Fikry K, Quraishi SA, Schoenfeld W |title=A Young Man with a Mediastinal Mass and Sudden Cardiac Arrest |journal=Ann Am Thorac Soc |volume=12 |issue=8 |pages=1235–9 |date=August 2015 |pmid=26317273 |doi=10.1513/AnnalsATS.201504-212CC |url=}}</ref><ref name="pmid10579740">{{cite journal |vauthors=Salem K, Mulji A, Lonn E |title=Echocardiographically guided pericardiocentesis - the gold standard for the management of pericardial effusion and cardiac tamponade |journal=Can J Cardiol |volume=15 |issue=11 |pages=1251–5 |date=November 1999 |pmid=10579740 |doi= |url=}}</ref> | ||
Line 575: | Line 575: | ||
| style="background: #F5F5F5; padding: 5px;" |Invasive [[contrast]] [[venography]]: | | style="background: #F5F5F5; padding: 5px;" |Invasive [[contrast]] [[venography]]: | ||
* Etiology of obstruction | * Etiology of obstruction | ||
* Exact location of the | * Exact location of the obstr | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Partial anomalous pulmonary venous connection]]''' | | style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Partial anomalous pulmonary venous connection|on]]''' | ||
<ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref><ref name="pmid22837866">{{cite journal |vauthors=Sears EH, Aliotta JM, Klinger JR |title=Partial anomalous pulmonary venous return presenting with adult-onset pulmonary hypertension |journal=Pulm Circ |volume=2 |issue=2 |pages=250–5 |date=2012 |pmid=22837866 |pmc=3401879 |doi=10.4103/2045-8932.97637 |url=}}</ref><ref name="pmid18595412">{{cite journal |vauthors=Broy C, Bennett S |title=Partial anomalous pulmonary venous return |journal=Mil Med |volume=173 |issue=6 |pages=523–4 |date=June 2008 |pmid=18595412 |doi= |url=}}</ref> | <ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref><ref name="pmid22837866">{{cite journal |vauthors=Sears EH, Aliotta JM, Klinger JR |title=Partial anomalous pulmonary venous return presenting with adult-onset pulmonary hypertension |journal=Pulm Circ |volume=2 |issue=2 |pages=250–5 |date=2012 |pmid=22837866 |pmc=3401879 |doi=10.4103/2045-8932.97637 |url=}}</ref><ref name="pmid18595412">{{cite journal |vauthors=Broy C, Bennett S |title=Partial anomalous pulmonary venous return |journal=Mil Med |volume=173 |issue=6 |pages=523–4 |date=June 2008 |pmid=18595412 |doi= |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
Line 604: | Line 604: | ||
* Pressure and [[Oxygen saturation|O2 Sat]] in heart chambers | * Pressure and [[Oxygen saturation|O2 Sat]] in heart chambers | ||
[[Spirometry|PFT]]: | [[Spirometry|PFT]]: | ||
* Normal despite of | * Normal despite of seve | ||
|- | |- | ||
| rowspan="5" style="background: #4479BA; color: #FFFFFF; padding: 5px;" |GI disease | | colspan="0" rowspan="5" style="background: #4479BA; color: #FFFFFF; padding: 5px;" |GI disease | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Esophageal achalasia|'''Esophageal achalasia''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Esophageal achalasia|'''Esophageal achalasia''']] | ||
<ref name="pmid22532812">{{cite journal |vauthors=Gockel I, Müller M, Schumacher J |title=Achalasia--a disease of unknown cause that is often diagnosed too late |journal=Dtsch Arztebl Int |volume=109 |issue=12 |pages=209–14 |year=2012 |pmid=22532812 |pmc=3329145 |doi=10.3238/arztebl.2012.0209 |url=}}</ref><ref name="pmid22791940">{{cite journal |vauthors=Ghoshal UC, Daschakraborty SB, Singh R |title=Pathogenesis of achalasia cardia |journal=World J. Gastroenterol. |volume=18 |issue=24 |pages=3050–7 |year=2012 |pmid=22791940 |pmc=3386318 |doi=10.3748/wjg.v18.i24.3050 |url=}}</ref><ref name="pmid26087861">{{cite journal |vauthors=Ates F, Vaezi MF |title=The Pathogenesis and Management of Achalasia: Current Status and Future Directions |journal=Gut Liver |volume=9 |issue=4 |pages=449–63 |year=2015 |pmid=26087861 |pmc=4477988 |doi=10.5009/gnl14446 |url=}}</ref><ref name="pmid23871090">{{cite journal| author=Boeckxstaens GE, Zaninotto G, Richter JE| title=Achalasia. | journal=Lancet | year= 2013 | volume= | issue= | pages= | pmid=23871090 | doi=10.1016/S0140-6736(13)60651-0 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23871090 }}</ref> | <ref name="pmid22532812">{{cite journal |vauthors=Gockel I, Müller M, Schumacher J |title=Achalasia--a disease of unknown cause that is often diagnosed too late |journal=Dtsch Arztebl Int |volume=109 |issue=12 |pages=209–14 |year=2012 |pmid=22532812 |pmc=3329145 |doi=10.3238/arztebl.2012.0209 |url=}}</ref><ref name="pmid22791940">{{cite journal |vauthors=Ghoshal UC, Daschakraborty SB, Singh R |title=Pathogenesis of achalasia cardia |journal=World J. Gastroenterol. |volume=18 |issue=24 |pages=3050–7 |year=2012 |pmid=22791940 |pmc=3386318 |doi=10.3748/wjg.v18.i24.3050 |url=}}</ref><ref name="pmid26087861">{{cite journal |vauthors=Ates F, Vaezi MF |title=The Pathogenesis and Management of Achalasia: Current Status and Future Directions |journal=Gut Liver |volume=9 |issue=4 |pages=449–63 |year=2015 |pmid=26087861 |pmc=4477988 |doi=10.5009/gnl14446 |url=}}</ref><ref name="pmid23871090">{{cite journal| author=Boeckxstaens GE, Zaninotto G, Richter JE| title=Achalasia. | journal=Lancet | year= 2013 | volume= | issue= | pages= | pmid=23871090 | doi=10.1016/S0140-6736(13)60651-0 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23871090 }}</ref> | ||
Line 755: | Line 755: | ||
* Peri-esophageal fluid | * Peri-esophageal fluid | ||
* [[Mediastinal widening]] | * [[Mediastinal widening]] | ||
* Air and fluid in the [[Pleural space|pleural spaces]], [[retroperitoneum]], or [[lesser sac]] | * Air and fluid in the [[Pleural space|pleural spaces]], [[retroperitoneum]], or [[lesser sac|less]] | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hiatus hernia|''' | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hiatus hernia|'''rnia''']] | ||
<ref name="pmid22320417">{{cite journal |vauthors=Khajanchee YS, Cassera MA, Swanström LL, Dunst CM |title=Diagnosis of Type-I hiatal hernia: a comparison of high-resolution manometry and endoscopy |journal=Dis. Esophagus |volume=26 |issue=1 |pages=1–6 |date=January 2013 |pmid=22320417 |doi=10.1111/j.1442-2050.2011.01314.x |url=}}</ref><ref name="pmid24503366">{{cite journal| author=Chang P, Friedenberg F| title=Obesity and GERD. | journal=Gastroenterol Clin North Am | year= 2014 | volume= 43 | issue= 1 | pages= 161-73 | pmid=24503366 | doi=10.1016/j.gtc.2013.11.009 | pmc=3920303 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24503366 }}</ref> | <ref name="pmid22320417">{{cite journal |vauthors=Khajanchee YS, Cassera MA, Swanström LL, Dunst CM |title=Diagnosis of Type-I hiatal hernia: a comparison of high-resolution manometry and endoscopy |journal=Dis. Esophagus |volume=26 |issue=1 |pages=1–6 |date=January 2013 |pmid=22320417 |doi=10.1111/j.1442-2050.2011.01314.x |url=}}</ref><ref name="pmid24503366">{{cite journal| author=Chang P, Friedenberg F| title=Obesity and GERD. | journal=Gastroenterol Clin North Am | year= 2014 | volume= 43 | issue= 1 | pages= 161-73 | pmid=24503366 | doi=10.1016/j.gtc.2013.11.009 | pmc=3920303 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24503366 }}</ref> | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
Line 803: | Line 803: | ||
* Widening of [[esophageal hiatus]] | * Widening of [[esophageal hiatus]] | ||
* [[Dehiscence]] of [[Diaphragm (anatomy)|diaphragmatic]] [[crura]] (> | * [[Dehiscence]] of [[Diaphragm (anatomy)|diaphragmatic]] [[crura]] (> | ||
|- | |- | ||
Line 816: | Line 816: | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard''' | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard''' | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Image''' | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Image''' | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Additional | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Additional fi'''ry disease | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hilar lymphadenopathy|'''Hilar lymphadenopathy''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hilar lymphadenopathy|'''Hilar lymphadenopathy''']] | ||
<ref name="JashMaji2013">{{cite journal|last1=Jash|first1=Debraj|last2=Maji|first2=Arnab|last3=Patra|first3=Anupam|last4=Sarkar|first4=Supriya|title=Approach to unequal hilum on chest X-ray|journal=The Journal of Association of Chest Physicians|volume=1|issue=2|year=2013|pages=32|issn=2320-8775|doi=10.4103/2320-8775.123204}}</ref><ref name="pmid24753638">{{cite journal |vauthors=Mohseni S, Shojaiefard A, Khorgami Z, Alinejad S, Ghorbani A, Ghafouri A |title=Peripheral lymphadenopathy: approach and diagnostic tools |journal=Iran J Med Sci |volume=39 |issue=2 Suppl |pages=158–70 |year=2014 |pmid=24753638 |pmc=3993046 |doi= |url=}}</ref><ref name="pmid247536382">{{cite journal |vauthors=Mohseni S, Shojaiefard A, Khorgami Z, Alinejad S, Ghorbani A, Ghafouri A |title=Peripheral lymphadenopathy: approach and diagnostic tools |journal=Iran J Med Sci |volume=39 |issue=2 Suppl |pages=158–70 |year=2014 |pmid=24753638 |pmc=3993046 |doi= |url=}}</ref><ref name="radio">Lymph node enlargment. Radiopedia. http://radiopaedia.org/articles/lymph-node-enlargement Accessed on May 9, 2016</ref> | <ref name="JashMaji2013">{{cite journal|last1=Jash|first1=Debraj|last2=Maji|first2=Arnab|last3=Patra|first3=Anupam|last4=Sarkar|first4=Supriya|title=Approach to unequal hilum on chest X-ray|journal=The Journal of Association of Chest Physicians|volume=1|issue=2|year=2013|pages=32|issn=2320-8775|doi=10.4103/2320-8775.123204}}</ref><ref name="pmid24753638">{{cite journal |vauthors=Mohseni S, Shojaiefard A, Khorgami Z, Alinejad S, Ghorbani A, Ghafouri A |title=Peripheral lymphadenopathy: approach and diagnostic tools |journal=Iran J Med Sci |volume=39 |issue=2 Suppl |pages=158–70 |year=2014 |pmid=24753638 |pmc=3993046 |doi= |url=}}</ref><ref name="pmid247536382">{{cite journal |vauthors=Mohseni S, Shojaiefard A, Khorgami Z, Alinejad S, Ghorbani A, Ghafouri A |title=Peripheral lymphadenopathy: approach and diagnostic tools |journal=Iran J Med Sci |volume=39 |issue=2 Suppl |pages=158–70 |year=2014 |pmid=24753638 |pmc=3993046 |doi= |url=}}</ref><ref name="radio">Lymph node enlargment. Radiopedia. http://radiopaedia.org/articles/lymph-node-enlargement Accessed on May 9, 2016</ref> | ||
Line 982: | Line 979: | ||
[[Computed tomography|CT scan]]: | [[Computed tomography|CT scan]]: | ||
* Honeycombing | * Honeycombing | ||
* parenchymal [[Nodule (medicine)|nodules]] and opacities along bronchovascular bundles as well as in subpleural | * parenchymal [[Nodule (medicine)|nodules]] and opacities along bronchovascular bundles as well as in subpleural loc | ||
|- | |- | ||
| rowspan="3" style="background: #4479BA; color: #FFFFFF; padding: 5px;" |Infection | | colspan="0" rowspan="3" style="background: #4479BA; color: #FFFFFF; padding: 5px;" |Infection | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Mediastinitis|'''Mediastinitis''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Mediastinitis|'''Mediastinitis''']] | ||
<ref name="pmid23351519">{{cite journal| author=Martínez Vallina P, Espinosa Jiménez D, Hernández Pérez L, Triviño Ramírez A| title=[Mediastinitis]. | journal=Arch Bronconeumol | year= 2011 | volume= 47 Suppl 8 | issue= | pages= 32-6 | pmid=23351519 | doi=10.1016/S0300-2896(11)70065-5 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23351519 }}</ref><ref name="pmid26336443">{{cite journal| author=Lewandowski B, Pakla P, Wołek W, Jednakiewicz M, Nicpoń J| title=A fatal case of descending necrotizing mediastinitis as a complication of odontogenic infection. A case report. | journal=Kardiochir Torakochirurgia Pol | year= 2014 | volume= 11 | issue= 3 | pages= 324-8 | pmid=26336443 | doi=10.5114/kitp.2014.45685 | pmc=PMC4283893 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26336443 }}</ref><ref>Symptoms of mediastinitis. Right Diagnosis (2015). http://www.rightdiagnosis.com/m/mediastinitis/symptoms.htm Accessed on September 28, 2015</ref><ref name="EEE">Mediastinitis: parotid abscess complication. Brazilian Journal of Otorhinolaryngology (2013). http://www.scielo.br/scielo.php?pid=S1808-86942014000300268&script=sci_arttext Accessed on September 28, 2015</ref> | <ref name="pmid23351519">{{cite journal| author=Martínez Vallina P, Espinosa Jiménez D, Hernández Pérez L, Triviño Ramírez A| title=[Mediastinitis]. | journal=Arch Bronconeumol | year= 2011 | volume= 47 Suppl 8 | issue= | pages= 32-6 | pmid=23351519 | doi=10.1016/S0300-2896(11)70065-5 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23351519 }}</ref><ref name="pmid26336443">{{cite journal| author=Lewandowski B, Pakla P, Wołek W, Jednakiewicz M, Nicpoń J| title=A fatal case of descending necrotizing mediastinitis as a complication of odontogenic infection. A case report. | journal=Kardiochir Torakochirurgia Pol | year= 2014 | volume= 11 | issue= 3 | pages= 324-8 | pmid=26336443 | doi=10.5114/kitp.2014.45685 | pmc=PMC4283893 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26336443 }}</ref><ref>Symptoms of mediastinitis. Right Diagnosis (2015). http://www.rightdiagnosis.com/m/mediastinitis/symptoms.htm Accessed on September 28, 2015</ref><ref name="EEE">Mediastinitis: parotid abscess complication. Brazilian Journal of Otorhinolaryngology (2013). http://www.scielo.br/scielo.php?pid=S1808-86942014000300268&script=sci_arttext Accessed on September 28, 2015</ref> | ||
Line 1,052: | Line 1,049: | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |ic disease | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Dermoid cyst|'''Dermoid cyst''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Dermoid cyst|'''Dermoid cyst''']] | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
Line 1,074: | Line 1,067: | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |flammatory | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Churg-Strauss syndrome|'''Churg-Strauss syndrome''']] | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Churg-Strauss syndrome|'''Churg-Strauss syndrome''']] | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
Line 1,100: | Line 1,086: | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard''' | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard''' | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Image''' | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Image''' | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Additional | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Additional fi''' | ||
| | {| | ||
! colspan="9" |Posterior mediastinal mass | |||
! colspan=" | |} | ||
| | tiNS disease | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Meningocele]]<ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref>''' | | style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Meningocele]]<ref name="pmid23225215">{{cite journal |vauthors=Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L |title=A diagnostic approach to the mediastinal masses |journal=Insights Imaging |volume=4 |issue=1 |pages=29–52 |date=February 2013 |pmid=23225215 |doi=10.1007/s13244-012-0201-0 |url=}}</ref>''' | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
Line 1,126: | Line 1,111: | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
|- | |- | ||
| colspan=" | | colspan="9" |'''<small>ABBREVIATIONS''': '''N/A''': Not available, '''SOB''': Shortness of breath, '''M/C''': Most common, '''RI''': Respiratory insufficiency, '''NM''': Neuromuscular system, '''SVCS''': Superior vena cava syndrome, '''SLE''': Systemic lupus erythematosus disease, '''T3:''' Triiodothyronine, '''T4:''' Thyroxine, '''TSH:''' Thyroid stimulating hormone, '''TFT:''' Thyroid function test</small><small><nowiki/></small><small><nowiki/></small><small><nowiki/></small><small><nowiki/></small><small><nowiki/></small><small><nowiki/></small> | ||
|- | |- | ||
|} | |} |
Revision as of 19:46, 11 February 2019
piIEditor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Trusha Tank, M.D.[3]
Overview
Differential diagnosis of mediastinal mass
Wide variety of medical conditions can present as a mediastinal mass on radiological imaging.
- Mediastinal mass may cause obstruction, entrapment or infiltration of other mediastinal organs such as: Trachea, bronchi, esophagus, aorta, superior vena cava (SVC) or heart.[1]
- Disorder caused by any kind of mediastinal mass is collectively known as: Mediastinal syndromes
- Mediastinal syndrome includes:
- Compression of the trachea: Dyspnea and respiratory insufficiency.
- Compression of the esophagus: Dysphagia.
- Compression of SVC causes superior vena cava syndrome: Vein distention, edema of the face or upper extremities and a positive Pemberton's sign.
- Pemberton's sign: Development of suffusion, plethora, or duskiness upon elevation of the arms above the head in patient
- Superior vena cava syndrome is the most severe complication of mediastinal syndrome and a medical emergency.
ABBREVIATIONS: N/A: Not available, SOB: Shortness of breath, M/C: Most common, RI: Respiratory insufficiency, NM: Neuromuscular system, SVCS: Superior vena cava syndrome, SLE: Systemic lupus erythematosus disease, T3: Triiodothyronine, T4: Thyroxine, TSH: Thyroid stimulating hormone, TFT: Thyroid functio
n | |||||||||||||||||||||||||||
Class | Disease | Causes/risk factors | Clinical presentation | Paraclinical findings | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
General symptoms | Mediastinal syndrome | ||||||||||||||||||||||||||
Dyspnea/
RI |
Dysphagia | SVCS | Gold standard | Image | Additional fi
ti | ||||||||||||||||||||||
Tumors | Thymoma |
|
+ | + | + | Biopsy:
|
Associated condition
| ||||||||||||||||||||
Disease | Etiology | Symptoms | Dyspnea/
RI |
Dysphagia | SVCS | Gold standard | Image | Additional findings | |||||||||||||||||||
Fatty mass |
|
|
- | - | - | MRI:
|
Fatty mass can be:
| ||||||||||||||||||||
Non-Hodgkin lymphoma |
(HIV, Hep C, HTLV-1, EBV, HHV-8, H. pylori, psittacosis, Campylobacter jejuni)
(pesticides, methotrexate, TNF inhibitors, trichloroethylene)
|
|
+/- | +/- | +/- | Excisional lymph node biopsy with immunohistochemical study
|
| ||||||||||||||||||||
Disease | Etiology | Symptoms | Dyspnea/
RI |
Dysphagia | SVCS | Gold standard | Image | Additional findings | |||||||||||||||||||
Hodgkin's lymphoma | Epstein-Barr virus
|
Other Mass effect
|
+ | Lymph node biopsy with immunohistochemistry
|
Positron emission tomography (PET)
| ||||||||||||||||||||||
atous) |
|
+ | - | - | Biopsy: | CT scan:
Laboratory finding: | |||||||||||||||||||||
ma |
|
Benign
Malignant |
+/- | +/- | +/- | Chest CT scan:
|
id disease | Thyroid cancer |
|
|
+ | + | - | US guided biopsy: | TFT | ||||||||||||
Mediastinal goiter |
|
+ | + | - | Radioactive iodine scan:
|
Hyperavtive gland (hyperthyroid):
Hypoactive gland (hypothyroid):
Normal functioning gland (euthyroid):
| |||||||||||||||||||||
Class | Disease | Etiology | Symptoms | Dyspnea/
RI |
Dysphagia | SVCS | Gold standard | Image | Additional fi
tiVS disease |
Pericardial effusion |
|
|
+ | +/- | - | Echocardiography guided pericardiocentesis:
|
Physical findings:
EKG: Echo:
| ||||||||||
Aortic dissection |
|
+ | +/- | + | MRI: | TEE:
CTA:
| |||||||||||||||||||||
Disease | Etiology | Symptoms | Dyspnea/
RI |
Dysphagia | SVCS | Gold standard | Image | Additional findings | |||||||||||||||||||
Superior vena cava obstruction | Compression of SVC from: |
|
+ | + | ++ | Contrast-enhanced CT scan:
|
Invasive contrast venography:
| ||||||||||||||||||||
on |
|
|
+ | - | - | MRI with contrast:
|
Associated with
PFT:
| ||||||||||||||||||||
GI disease | Esophageal achalasia |
|
+ | + | - | High resolution manometry (HRM):
|
X ray:
| ||||||||||||||||||||
Disease | Etiology | Symptoms | Dyspnea/
RI |
Dysphagia | SVCS | Gold standard | Image | Additional findings | |||||||||||||||||||
Esophageal cancer |
|
|
- | + | - | Endoscopy with biopsy:
|
Barium swallow:
| ||||||||||||||||||||
Esophageal rupture |
|
Other: Patients with cervical perforations can present with
|
+ | + | - | Esophagogram:
|
CT scan:
| ||||||||||||||||||||
rnia |
|
- | + | - | High resolution manometry with esophageal pressure topography (EPT):
|
Ultrasound:
Ultrasound in pediatric population:
| |||||||||||||||||||||
Class | Disease | Etiology | Symptoms | Dyspnea/
RI |
Dysphagia | SVCS | Gold standard | Image | Additional firy disease | Hilar lymphadenopathy | Lymphadenopathy:
|
Constituitional symptoms like:
|
+ | - | - | Lymph node biopsy and histopathology | CT scan | ||||||||||
Pneumomediastinum |
|
|
+ | - | - | CT scan:
Pediatric pneumomediastinum: |
Physical exam:
| ||||||||||||||||||||
Sarcoidosis |
Immune System
Drug side effect |
Cutaneous sarcoidosis Ocular sarcoidosis
Renal & electrolyte
|
+ | - | - | Endoscopy with biopsy and histopathology
|
Laboratory findings:
| ||||||||||||||||||||
Infection | Mediastinitis |
Risk factors:
|
+ | - | - | Culture and sensitivity of mediastinal tissue collected by biopsy/aspiration | Physical exam
| ||||||||||||||||||||
Anthrax | |||||||||||||||||||||||||||
Tularemia | ic disease | Dermoid cyst | |||||||||||||||||||||||||
Bronchogenic cyst | flammatory | Churg-Strauss syndrome | |||||||||||||||||||||||||
Class | Disease | Etiology | Symptoms | Dyspnea/
RI |
Dysphagia | SVCS | Gold standard | Image | Additional fi
tiNS disease |
Meningocele[2] | |||||||||||||||||
Neurilemmoma[2] | |||||||||||||||||||||||||||
ABBREVIATIONS: N/A: Not available, SOB: Shortness of breath, M/C: Most common, RI: Respiratory insufficiency, NM: Neuromuscular system, SVCS: Superior vena cava syndrome, SLE: Systemic lupus erythematosus disease, T3: Triiodothyronine, T4: Thyroxine, TSH: Thyroid stimulating hormone, TFT: Thyroid function test |
- Superior vena cava obstruction
- Partial anomalous pulmonary venous connection
- Esophageal achalasia
- Esophageal cancer
- Esophageal rupture
- Hiatus hernia
- Hilar lymphadenopathy
- Pneumomediastinum
- Sarcoidosis
- Lymphoma
- Neurilemmoma
- Non-Hodgkin lymphoma
- Teratoma
- Thymoma
References
- ↑ Zardi EM, Pipita ME, Afeltra A (October 2016). "Mediastinal syndrome: A report of three cases". Exp Ther Med. 12 (4): 2237–2240. doi:10.3892/etm.2016.3596. PMC 5038184. PMID 27698718.
- ↑ 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 2.12 2.13 Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L (February 2013). "A diagnostic approach to the mediastinal masses". Insights Imaging. 4 (1): 29–52. doi:10.1007/s13244-012-0201-0. PMID 23225215.
- ↑ Molinari F, Bankier AA, Eisenberg RL (November 2011). "Fat-containing lesions in adult thoracic imaging". AJR Am J Roentgenol. 197 (5): W795–813. doi:10.2214/AJR.11.6932. PMID 22021525.
- ↑ Sandlund JT (2015). "Non-Hodgkin Lymphoma in Children". Curr Hematol Malig Rep. 10 (3): 237–43. doi:10.1007/s11899-015-0277-y. PMID 26174528.
- ↑ Armitage JO, Gascoyne RD, Lunning MA, Cavalli F (2017). "Non-Hodgkin lymphoma". Lancet. 390 (10091): 298–310. doi:10.1016/S0140-6736(16)32407-2. PMID 28153383.
- ↑ K. J. Flavell & P. G. Murray (2000). "Hodgkin's disease and the Epstein-Barr virus". Molecular pathology : MP. 53 (5): 262–269. PMID 11091850. Unknown parameter
|month=
ignored (help) - ↑ J. J. Goedert, T. R. Cote, P. Virgo, S. M. Scoppa, D. W. Kingma, M. H. Gail, E. S. Jaffe & R. J. Biggar (1998). "Spectrum of AIDS-associated malignant disorders". Lancet (London, England). 351 (9119): 1833–1839. PMID 9652666. Unknown parameter
|month=
ignored (help) - ↑ M. Tinguely, R. Vonlanthen, E. Muller, C. C. Dommann-Scherrer, J. Schneider, J. A. Laissue & B. Borisch (1998). "Hodgkin's disease-like lymphoproliferative disorders in patients with different underlying immunodeficiency states". Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc. 11 (4): 307–312. PMID 9578079. Unknown parameter
|month=
ignored (help) - ↑ Vardhana S, Younes A (2016). "The immune microenvironment in Hodgkin lymphoma: T cells, B cells, and immune checkpoints". Haematologica. 101 (7): 794–802. doi:10.3324/haematol.2015.132761. PMC 5004458. PMID 27365459.
- ↑ Hodgkin-lymphoma. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/hodgkin-lymphoma/diagnosis/?region=ab Accessed on September 11, 2015
- ↑ Yalagachin GH (June 2013). "Anterior mediastinal teratoma- a case report with review of literature". Indian J Surg. 75 (Suppl 1): 182–4. doi:10.1007/s12262-012-0569-6. PMID 24426558.
- ↑ No TH, Seol SH, Seo GW, Kim DI, Yang SY, Jeong CH, Hwang YH, Kim JY (September 2015). "Benign Mature Teratoma in Anterior Mediastinum". J Clin Med Res. 7 (9): 726–8. doi:10.14740/jocmr2270w. PMC 4522994. PMID 26251691.
- ↑ "Benign thyroid enlargement (non-toxic multinodular goiter): Overview".
- ↑ Vanneman MW, Fikry K, Quraishi SA, Schoenfeld W (August 2015). "A Young Man with a Mediastinal Mass and Sudden Cardiac Arrest". Ann Am Thorac Soc. 12 (8): 1235–9. doi:10.1513/AnnalsATS.201504-212CC. PMID 26317273.
- ↑ Salem K, Mulji A, Lonn E (November 1999). "Echocardiographically guided pericardiocentesis - the gold standard for the management of pericardial effusion and cardiac tamponade". Can J Cardiol. 15 (11): 1251–5. PMID 10579740.
- ↑ Weissmann-Brenner A, Schoen R, Divon MY (2004). "Aortic dissection in pregnancy". Obstet Gynecol. 103 (5 Pt 2): 1110–3. doi:10.1097/01.AOG.0000124984.82336.43. PMID 15121626.
- ↑ Brooke V, Goswami S, Mohanty A, Kasi PM (2012). "Aortic dissection and renal failure in a patient with severe hypothyroidism". Case Rep Med. 2012: 842562. doi:10.1155/2012/842562. PMC 3399550. PMID 22829842.
- ↑ "Classification of diabetic retinopathy from fluorescein angiograms. ETDRS report number 11. Early Treatment Diabetic Retinopathy Study Research Group". Ophthalmology. 98 (5 Suppl): 807–22. 1991. PMID 2062514.
- ↑ Uberoi R (2006). "Quality assurance guidelines for superior vena cava stenting in malignant disease". Cardiovasc Intervent Radiol. 29 (3): 319–22. doi:10.1007/s00270-005-0284-9. PMID 16502166.
- ↑ Cohen R, Mena D, Carbajal-Mendoza R, Matos N, Karki N (2008). "Superior vena cava syndrome: A medical emergency?". Int. J. Angiol. 17 (1): 43–6. PMID 22477372.
- ↑ Sears EH, Aliotta JM, Klinger JR (2012). "Partial anomalous pulmonary venous return presenting with adult-onset pulmonary hypertension". Pulm Circ. 2 (2): 250–5. doi:10.4103/2045-8932.97637. PMC 3401879. PMID 22837866.
- ↑ Broy C, Bennett S (June 2008). "Partial anomalous pulmonary venous return". Mil Med. 173 (6): 523–4. PMID 18595412.
- ↑ Gockel I, Müller M, Schumacher J (2012). "Achalasia--a disease of unknown cause that is often diagnosed too late". Dtsch Arztebl Int. 109 (12): 209–14. doi:10.3238/arztebl.2012.0209. PMC 3329145. PMID 22532812.
- ↑ Ghoshal UC, Daschakraborty SB, Singh R (2012). "Pathogenesis of achalasia cardia". World J. Gastroenterol. 18 (24): 3050–7. doi:10.3748/wjg.v18.i24.3050. PMC 3386318. PMID 22791940.
- ↑ Ates F, Vaezi MF (2015). "The Pathogenesis and Management of Achalasia: Current Status and Future Directions". Gut Liver. 9 (4): 449–63. doi:10.5009/gnl14446. PMC 4477988. PMID 26087861.
- ↑ Boeckxstaens GE, Zaninotto G, Richter JE (2013). "Achalasia". Lancet. doi:10.1016/S0140-6736(13)60651-0. PMID 23871090.
- ↑ Corley DA, Kerlikowske K, Verma R, Buffler P. Protective association of aspirin/NSAIDs and esophageal cancer: a systematic review and meta-analysis. Gastroenterology 2003;124:47-56. PMID 12512029. See also NCI - "Esophageal Cancer (PDQ®): Prevention".
- ↑ Wong A, Fitzgerald RC. Epidemiologic risk factors for Barrett's esophagus and associated adenocarcinoma. Clin Gastroenterol Hepatol. 2005 Jan;3(1):1-10. PMID 15645398
- ↑ Ye W, Held M, Lagergren J, Engstrand L, Blot WJ, McLaughlin JK, Nyren O. Helicobacter pylori infection and gastric atrophy: risk of adenocarcinoma and squamous-cell carcinoma of the esophagus and adenocarcinoma of the gastric cardia. J Natl Cancer Inst. 2004 Mar 3;96(5):388-96. PMID 14996860
- ↑ Nakajima S, Hattori T. Oesophageal adenocarcinoma or gastric cancer with or without eradication of Helicobacter pylori infection in chronic atrophic gastritis patients: a hypothetical opinion from a systematic review. Aliment Pharmacol Ther. 2004 Jul;20 Suppl 1:54-61. PMID 15298606
- ↑ NCI Prevention: Dietary Factors, based on Chainani-Wu N. Diet and oral, pharyngeal, and esophageal cancer. Nutr Cancer 2002;44:104-26. PMID 12734057.
- ↑ McGovern M, Egerton MJ (1991). "Spontaneous perforation of the cervical oesophagus". Med. J. Aust. 154 (4): 277–8. PMID 1994204.
- ↑ Wilson RF, Sarver EJ, Arbulu A, Sukhnandan R (1971). "Spontaneous perforation of the esophagus". Ann. Thorac. Surg. 12 (3): 291–6. PMID 5112482.
- ↑ Bladergroen MR, Lowe JE, Postlethwait RW (1986). "Diagnosis and recommended management of esophageal perforation and rupture". Ann. Thorac. Surg. 42 (3): 235–9. PMID 3753071.
- ↑ Dodds WJ, Stewart ET, Vlymen WJ (1982). "Appropriate contrast media for evaluation of esophageal disruption". Radiology. 144 (2): 439–41. doi:10.1148/radiology.144.2.7089304. PMID 7089304.
- ↑ James AE, Montali RJ, Chaffee V, Strecker EP, Vessal K (1975). "Barium or gastrografin: which contrast media for diagnosis of esophageal tears?". Gastroenterology. 68 (5 Pt 1): 1103–13. PMID 1126592.
- ↑ Schwartz SS (1975). "Letter: Barium or gastrografin: which contrast media for diagnosis of esophageal tears?". Gastroenterology. 69 (6): 1377. PMID 1193339.
- ↑ Vessal K, Montali RJ, Larson SM, Chaffee V, James AE (1975). "Evaluation of barium and gastrografin as contrast media for the diagnosis of esophageal ruptures or perforations". Am J Roentgenol Radium Ther Nucl Med. 123 (2): 307–19. PMID 1115308.
- ↑ Khajanchee YS, Cassera MA, Swanström LL, Dunst CM (January 2013). "Diagnosis of Type-I hiatal hernia: a comparison of high-resolution manometry and endoscopy". Dis. Esophagus. 26 (1): 1–6. doi:10.1111/j.1442-2050.2011.01314.x. PMID 22320417.
- ↑ Chang P, Friedenberg F (2014). "Obesity and GERD". Gastroenterol Clin North Am. 43 (1): 161–73. doi:10.1016/j.gtc.2013.11.009. PMC 3920303. PMID 24503366.
- ↑ Jash, Debraj; Maji, Arnab; Patra, Anupam; Sarkar, Supriya (2013). "Approach to unequal hilum on chest X-ray". The Journal of Association of Chest Physicians. 1 (2): 32. doi:10.4103/2320-8775.123204. ISSN 2320-8775.
- ↑ Mohseni S, Shojaiefard A, Khorgami Z, Alinejad S, Ghorbani A, Ghafouri A (2014). "Peripheral lymphadenopathy: approach and diagnostic tools". Iran J Med Sci. 39 (2 Suppl): 158–70. PMC 3993046. PMID 24753638.
- ↑ Mohseni S, Shojaiefard A, Khorgami Z, Alinejad S, Ghorbani A, Ghafouri A (2014). "Peripheral lymphadenopathy: approach and diagnostic tools". Iran J Med Sci. 39 (2 Suppl): 158–70. PMC 3993046. PMID 24753638.
- ↑ Lymph node enlargment. Radiopedia. http://radiopaedia.org/articles/lymph-node-enlargement Accessed on May 9, 2016
- ↑ Utsumi T, Shiono H, Fukai I, Akashi A (2007). "Artificial pneumomediastinum facilitates thoracoscopic surgery in anterior mediastinum". Interactive cardiovascular and thoracic surgery. 6 (3): 411–2. doi:10.1510/icvts.2006.147355. PMID 17669882.
- ↑ name="pmid18721592">Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE (September 2008). "Spontaneous pneumomediastinum: a comparative study and review of the literature". Ann. Thorac. Surg. 86 (3): 962–6. doi:10.1016/j.athoracsur.2008.04.067. PMID 18721592.
- ↑ Kim, Hye Rin; Yoo, Seung Min; Lee, Hwa Yeon; Han, Jin Hee; Frazier, Aletta A; White, Charles S (2016). "Presence of subpleural pulmonary interstitial emphysema as an indication of single or multiple alveolar ruptures on CT in patients with spontaneous pneumomediastinum". Acta Radiologica. 57 (12): 1483–1489. doi:10.1177/0284185116629830. ISSN 0284-1851.
- ↑ . doi:10.3978/j.issn.2072-1439.2015.01.11. Missing or empty
|title=
(help) - ↑ Chiu CY, Wong KS, Yao TC, Huang JL (March 2005). "Asthmatic versus non-asthmatic spontaneous pneumomediastinum in children". Asian Pac. J. Allergy Immunol. 23 (1): 19–22. PMID 15997870.
- ↑ Iyer VN, Joshi AY, Ryu JH (May 2009). "Spontaneous pneumomediastinum: analysis of 62 consecutive adult patients". Mayo Clin. Proc. 84 (5): 417–21. doi:10.1016/S0025-6196(11)60560-0. PMC 2676124. PMID 19411438.
- ↑ Dionísio, Patrícia; Martins, Luís; Moreira, Susana; Manique, Alda; Macedo, Rita; Caeiro, Fátima; Boal, Luísa; Bárbara, Cristina (2017). "Spontaneous pneumomediastinum: experience in 18 patients during the last 12 years". Jornal Brasileiro de Pneumologia. 43 (2): 101–105. doi:10.1590/s1806-37562016000000052. ISSN 1806-3756.
- ↑ Teirstein AS, Judson MA, Baughman RP, et al: The spectrum of biopsy sites for the diagnosis of sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis 22(2):139 146, 2005.
- ↑ Judson MA, Boan AD, Lackland DT: The clinical course of sarcoidosis: presentation, diagnosis, and treatment in a large white and black cohort in the United States. Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG 2012, 29(2):119-127.
- ↑ Roberts SD, Mirowski GW, Wilkes D, Kwo PY, Knox KS: Sarcoidosis. Part II: extrapulmonary and systemic manifestations. Journal of the American Academy of Dermatology 2004, 51(4):628-630.
- ↑ Lieberman J, Nosal A, Schlessner A, Sastre-Foken A: Serum angiotensin-converting enzyme for diagnosis and therapeutic evaluation of sarcoidosis. Am Rev Respir Dis 120(2):329–335, 1979.
- ↑ Martínez Vallina P, Espinosa Jiménez D, Hernández Pérez L, Triviño Ramírez A (2011). "[Mediastinitis]". Arch Bronconeumol. 47 Suppl 8: 32–6. doi:10.1016/S0300-2896(11)70065-5. PMID 23351519.
- ↑ Lewandowski B, Pakla P, Wołek W, Jednakiewicz M, Nicpoń J (2014). "A fatal case of descending necrotizing mediastinitis as a complication of odontogenic infection. A case report". Kardiochir Torakochirurgia Pol. 11 (3): 324–8. doi:10.5114/kitp.2014.45685. PMC 4283893. PMID 26336443.
- ↑ Symptoms of mediastinitis. Right Diagnosis (2015). http://www.rightdiagnosis.com/m/mediastinitis/symptoms.htm Accessed on September 28, 2015
- ↑ Mediastinitis: parotid abscess complication. Brazilian Journal of Otorhinolaryngology (2013). http://www.scielo.br/scielo.php?pid=S1808-86942014000300268&script=sci_arttext Accessed on September 28, 2015