Patients over the age of 65 years admitted to hospital with more than six rib fractures have a mortality rate as high 38%. Of survivors, 34% are likely be an aged care facility. High-quality analgesia is paramount mitigation fracture–associated morbidity and mortality. We report series ten consecutive patients eight fractured ribs. All were managed novel chest wall block. There no deaths, only ...

introduction: cauda equina secondary to metastatic follicular thyroid cancer of the lumbosacral area is a rare entity.   case report: we report an unusual case of a 52-year-old male who presented with backache, lower limb weakness, and perianal numbness. a ct-scan of the lumbosacral area showed an enhancing mass at the l4, l5 and s1 vertebrae. histopathology after excision revealed a metastatic...

a 16-day-old female was referred with congenital swelling on her right shoulder. on examination, there was a hard, round, ecchymotic, nontender, slightly movable, warm and shiny 10x15 cm mass on the right axillary pits which was extended to the right side of neck and chest wall. the mass separated the shoulder from the chest wall causing paralysis of right hand. chest x-ray, ultrasound and mri ...

Over the past four years (1360-1364) we have surgically treated seven infants for lobar emphysema. The pathologic lesion in all patients was in upper lobe of the left lung. Respiratory distress and pneumonia are the cardinal symptoms of patients with this abnormality. Diagnosis is confirmed by chest x-ray. The treatment of choice is lobectomy of affected lobe. 

PURPOSE Accelerated partial breast irradiation (APBI) continues to increase in popularity. Up to 14% of patients treated with the MammoSite (MS) report some degree of chronic pain, which may be related to chest wall toxicity. Reports from several institutions using the multicatheter (MC) technique have not shown associated elevated chest wall toxicity. Additionally, a recent investigation has s...

Normal prolactin levels were found in two cases of galactorrhoea following surgical procedures to the chest wall and one was treated successfully with bromocriptine. Studies were then carried out to test the claim that chest-wall injury is one of the common causes of hyperprolactinaemia. Serum prolactin levels were measured before and after thoracotomy in 7 patients, following traumatic rib fra...

We herein report the case of 75-year-old Japanese female with a community-acquired lung abscess attributable to Streptococcus pneumoniae (S. penumoniae) which extended into the chest wall. The patient was admitted to our hospital with a painful mass on the left anterior chest wall. A contrast-enhanced chest computed tomography scan showed a lung abscess in the left upper lobe which extended int...

BACKGROUND Traditionally chest tubes are set to -20 cm H2O wall suctioning until removal to facilitate drainage of blood, fluid, and air from the pleural or mediastinal space in patients after open heart surgery. However, no clear evidence supports using wall suction in these patients. Some studies in patients after pulmonary surgery indicate that using chest tubes with a water seal is safer, b...

Vibration is a manual technique used widely to assist with the removal of pulmonary secretions. Little is known about how vibration is applied or its effect on the respiratory system. The purpose of this study was to describe mechanical consequences of vibration on the chest wall of a normal subject and the effects of vibration on expiratory flow rates and volumes. The effects of vibration were...