Spontaneous Mediastinal Emphysema

PEDIATRICS ◽  
1984 ◽  
Vol 74 (3) ◽  
pp. 431-432
Author(s):  
GEORGE S. STURTZ

Spontaneous mediastinal emphysema, an apparently uncommon disorder of children, is characterized by precordial pain, unusual crunching sounds heard over the precordium during auscultation, subcutaneous air palpable in the neck, and the presence of mediastinal air on the chest roentgenogram. CASE REPORT A 13-year-old male adolescent had worked all afternoon mowing lawns. When his gas-powered mower stalled, he restarted it by pulling the starter cord vigorously and frequently. After the evening meal, he clipped a hedge by hand. Within one hour, he developed severe substernal pain. He had a sense of substernal pressure. He felt "... as if I were going to explode," and thought he was having a heart attack.

PEDIATRICS ◽  
1985 ◽  
Vol 75 (5) ◽  
pp. 990-990
Author(s):  
ROBERT G. ZWERDLING

To the Editor.— Sturtz's case report and brief review of the literature on spontaneous mediastinal emphysema is interesting.1 However, he neglects to mention what is perhaps the most common cause of this condition in childhood—asthma. Indeed, reports of this complication have occurred over the past 130 years.2-4 Recognition of this fact often results in an understanding of the cause for the pneumomediastinum as well as tipping the clinician off to a possibly undiagnosed but readily treatable condition.


Author(s):  
Juanne Clarke

Heart disease is a major cause of death, disease and disability in the developed world for both men and women. Nevertheless, the evidence suggests that women are under-diagnosed both because they fail to visit the doctor with relevant symptoms and because doctors tend to dismiss the seriousness of women's symptoms of heart disease. This study examines the way that popular mass print media present the possible links between gender and heart disease. The findings suggest that the ‘usual candidates’ for heart disease are considered to be high achieving and active men for whom the ‘heart attack’ is sometimes seen as a ‘badge of honour’ and a symbol of their success. In contrast, women are less often seen as likely to succumb, but they are portrayed as if they are and ought to be worried about their husbands. Women's own bodies are described as so problematic as to be perhaps useless to diagnose, because they are so difficult to understand and treat.


Author(s):  
E. D. Kosmacheva ◽  
E. A. Nemtsova ◽  
N. V. Kizhvatova ◽  
E. V. Gordeeva ◽  
V. A. Porhanov

2011 ◽  
Vol 125 (10) ◽  
pp. 1083-1086 ◽  
Author(s):  
M Dutta ◽  
S Ghatak ◽  
G Biswas ◽  
R Sinha

AbstractObjective:We present an extremely rare case of isolated angiokeratoma of the tongue.Method:Case report and review of related literature.Results:An 18-year-old, male adolescent presented with a fleshy, intermittently bleeding mass in the posterior third and base of the tongue. The lesion was initially suspected to be a lingual thyroid or haemangioma, but histopathological features were consistent with angiokeratoma. Magnetic resonance imaging revealed that the lesion extended up to the vallecula and involved the lamina propria and superficial tongue musculature. No similar lesions were found elsewhere in the body. No metabolic derangements were identified in the patient or his family. The 2.6 × 1.5 × 0.5 cm mass was excised under general anaesthesia.Conclusion:We present the 1st case of isolated lingual angiokeratoma in a male, the 4th such case overally, the largest ever documented. The lesion was situated in the posterior third and base of the tongue, a position not previously described.


2020 ◽  
Vol 03 (02) ◽  
Author(s):  
Goonja Patel ◽  
Scott Lee ◽  
Ogenetega Madedor ◽  
Yingxian Liu

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