Pediatric surgery. Complicated congenital lung cysts. Clinic. Differential diagnosis (most important)

Lecture notes, cheat sheets
Free library / Directory / Lecture notes, cheat sheets

Pediatric surgery. Complicated congenital lung cysts. Clinic. Differential diagnosis (most important)

Lecture notes, cheat sheets

Table of contents (expand)

9. Complicated congenital lung cysts. Clinic. Differential Diagnosis

Lung cysts is a relatively rare disease. Cysts are single and multiple. Multiple lung cysts include their polycystic lesion.

Cysts are more common in the right lung than in the left. The sizes of cysts vary widely. They can be single or multi-chamber, very small, sometimes reaching gigantic sizes, occupying almost the entire lobe or lung. If the cysts do not communicate with the tracheobronchial tree (closed), then they usually contain a sterile mucous liquid, colorless, yellowish or brown. Cysts communicating with the bronchi are filled with air and infected fluid.

clinical picture. Suppurated cysts of the lungs. With suppuration of single lung cysts, the disease develops acutely, with a sharp deterioration in the general condition of the child, an increase in body temperature to high numbers, chills, and sweating.

On examination, the patient noted pallor of the skin, cyanosis in the area of the nasolabial triangle. Breathing is fast, pulse is tense.

On the side of the localization of the cyst, areas of dullness of percussion sound and tympanitis are revealed, respectively, of inflammatory infiltration, accumulation of exudate and air.

During auscultation in these places, breathing is weakened, after coughing, moist coarse rales appear. Changes in the blood indicate an acute inflammatory process: high leukocytosis with a shift to the left, increased ESR.

X-ray examination reveals a cavity filled with fluid, around which there is an inflammatory infiltrate. With partial emptying of purulent contents, a horizontal level appears in the cyst cavity.

Differential diagnosis. It is necessary to differentiate infected cysts with lung abscess and pyopneumothorax.

The final diagnosis of a lung cyst can be made in cases where the anamnesis indicates the presence of an air cavity in the lung, which was previously found during an X-ray examination, or there is repeated suppuration in the lung with the same localization of the focus.

Pyopneumothorax develops against the background of severe asbestos pneumonia and is its complication. Radiologically, the cavity is located along the outer edge of the lung field.

With a purulent-inflammatory lesion of a polycystic lung, if infection occurs at an early age, the disease becomes protracted with frequent exacerbations. The general condition of the child is progressively deteriorating, the phenomena of intoxication are increasing, the patient is exhausted, the body temperature rises.

When examining a child, a rigid chest wall is revealed on the side of the lesion, which is not involved in the act of breathing. The borders of the heart are not changed. Percussion above the pulmonary field - a motley picture: areas of pulmonary sound alternate with tympanitis and dullness.

Authors: Drozdov A.A., Drozdova M.V.

<< Back: Treatment of lobar emphysema

>> Forward: Treatment of congenital cysts

We recommend interesting articles Section Lecture notes, cheat sheets:

▪ English for doctors. Crib

▪ Labor protection and safety. Crib

▪ Internal illnesses. Lecture notes

See other articles Section Lecture notes, cheat sheets.

Read and write useful comments on this article.

<< Back

Latest news of science and technology, new electronics:

The existence of an entropy rule for quantum entanglement has been proven 09.05.2024

Quantum mechanics continues to amaze us with its mysterious phenomena and unexpected discoveries. Recently, Bartosz Regula from the RIKEN Center for Quantum Computing and Ludovico Lamy from the University of Amsterdam presented a new discovery that concerns quantum entanglement and its relation to entropy. Quantum entanglement plays an important role in modern quantum information science and technology. However, the complexity of its structure makes understanding and managing it challenging. Regulus and Lamy's discovery shows that quantum entanglement follows an entropy rule similar to that for classical systems. This discovery opens new perspectives in the field of quantum information science and technology, deepening our understanding of quantum entanglement and its connection to thermodynamics. The results of the study indicate the possibility of reversibility of entanglement transformations, which could greatly simplify their use in various quantum technologies. Opening a new rule ... >>

Mini air conditioner Sony Reon Pocket 5 09.05.2024

Summer is a time for relaxation and travel, but often the heat can turn this time into an unbearable torment. Meet a new product from Sony - the Reon Pocket 5 mini-air conditioner, which promises to make summer more comfortable for its users. Sony has introduced a unique device - the Reon Pocket 5 mini-conditioner, which provides body cooling on hot days. With it, users can enjoy coolness anytime, anywhere by simply wearing it around their neck. This mini air conditioner is equipped with automatic adjustment of operating modes, as well as temperature and humidity sensors. Thanks to innovative technologies, Reon Pocket 5 adjusts its operation depending on the user's activity and environmental conditions. Users can easily adjust the temperature using a dedicated mobile app connected via Bluetooth. Additionally, specially designed T-shirts and shorts are available for convenience, to which a mini air conditioner can be attached. The device can oh ... >>

Energy from space for Starship 08.05.2024

Producing solar energy in space is becoming more feasible with the advent of new technologies and the development of space programs. The head of the startup Virtus Solis shared his vision of using SpaceX's Starship to create orbital power plants capable of powering the Earth. Startup Virtus Solis has unveiled an ambitious project to create orbital power plants using SpaceX's Starship. This idea could significantly change the field of solar energy production, making it more accessible and cheaper. The core of the startup's plan is to reduce the cost of launching satellites into space using Starship. This technological breakthrough is expected to make solar energy production in space more competitive with traditional energy sources. Virtual Solis plans to build large photovoltaic panels in orbit, using Starship to deliver the necessary equipment. However, one of the key challenges ... >>

Random news from the Archive

Antibiotics to fight superbugs 04.02.2019

Scientists around the world do not stop the fight against superbugs. These microorganisms are resistant to most modern antibiotics and pose a serious danger to humans, especially the sick.

In search of a substance capable of defeating superbugs, researchers have repeatedly turned to animals. So, earlier hope for a successful outcome of scientific confrontation was given by the milk of platypuses and substances isolated from the surface of the body of some species of ants.

Now scientists are interested in the possibilities of poisonous snakes. Specialists from the University of Queensland in Australia, together with Spanish researchers, have discovered protein fragments in the glands of South American rattlesnakes that can help fight superbugs. Researchers have isolated the peptide compound crotalicidin, which has antimicrobial, antitumor, and antifungal effects. At the same time, the substance does not harm ordinary cells at all.

The scientists tested the power of crotalicidin on Escherichia and Pseudomonas aeruginosa. As a result, the peptide destroyed 90% of both types of bacteria. Moreover, the substance coped with Escherichia coli in one and a half to two hours, and with Pseudomonas aeruginosa - in five minutes.

The secret of such a powerful antibacterial effect lies in the electrostatic attraction. The fact is that crotalicidin has a positive electrical charge, and the membranes of bacterial cells are negative. Due to this, the peptide is attracted to superbugs and destroys their membrane. At the same time, ordinary cells in the animal body do not risk anything - they do not have a charge, so the destroyer of superbugs does not pay anyone attention to them.

It is expected that over time, crotalicidin will be used to make a new generation of antibiotics that can cope with superbugs.

Other interesting news:

▪ The aliens didn't find us

▪ Green hydrogen scooter

▪ Processor Intel Celeron 2,7 GHz

▪ Non-melting ice cream

▪ Team Group TM4PS4 and TM8PS4 SSDs

News feed of science and technology, new electronics

Interesting materials of the Free Technical Library:

▪ site section Batteries, chargers. Article selection

▪ article From the great to the ridiculous one step. Popular expression

▪ article Who and when called Einstein a great violinist? Detailed answer

▪ article Dismantling supports. Standard instruction on labor protection

▪ article Galvanic method of etching metals. Simple recipes and tips

▪ article Fireproof handkerchief. Chemical Experience

Leave your comment on this article:

All languages of this page

Home page | Library | Articles | Website map | Site Reviews