NBME 20 Answers ↦
charcot_bouchard
Actually when a fractured rib puncture lung then it cause sc emphysema.
+2
2019-07-11T04:47:19Z
mbourne
"Chest trauma, a major cause of subcutaneous emphysema, can cause air to enter the skin of the chest wall from the neck or lung. When the pleural membranes are punctured, as occurs in penetrating trauma of the chest, air may travel from the lung to the muscles and subcutaneous tissue of the chest wall. When the alveoli of the lung are ruptured, as occurs in pulmonary laceration, air may travel beneath the visceral pleura (the membrane lining the lung), to the hilum of the lung, up to the trachea, to the neck and then to the chest wall.
The condition may also occur when a fractured rib punctures a lung; in fact, 27% of patients who have rib fractures also have subcutaneous emphysema. Rib fractures may tear the parietal pleura, the membrane lining the inside of chest wall, allowing air to escape into the subcutaneous tissues."
+1
2020-01-11T15:27:06Z
md_caffeiner
also look on FA 667 traumatic pnx where it says "rib fracture"
+1
2019-10-01T12:32:31Z
medstudent65
Crepitus is used to describe bone-on-bone grinding. Subcutaneous crepitus is very specific sound referencing air finding its way into the skin which you can hear but also feel by rubbing your hand over the affected area. The addition of subcutaneous lets you know we are specifically talking about air in the skin.
+1
2019-06-07T01:15:05Z
len49
You may also see the word in regards to gas gangrene (C. perfringens soft tissue infection) FA 2019 pg 138
+1
2020-02-24T02:56:35Z
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