Hematology and Oncology Book

http://www.fpnotebook.com/

Acute Chest Syndrome

Aka: Acute Chest Syndrome
Advertisement
  1. See Also
    1. Sickle Cell Anemia
  2. Precipitating Factors
    1. Sickle Cell Crisis
    2. Pulmonary infarction
    3. Acute fatty embolism
    4. Acute respiratory infection
      1. Bronchitis
      2. Pneumonia
      3. Legionella
      4. Mycoplasma pneumonia
  3. Symptoms
    1. Acute Chest Pain
    2. Wheezing
    3. Dyspnea
  4. Signs
    1. Fever
    2. Tachypnea
  5. Labs
    1. Complete Blood Count
    2. Serum chemistry panel
    3. Cultures (Blood Culture, Sputum Culture)
    4. Serum Protein Electrophoresis
      1. Hemoglobin-S before and after transfusion
  6. Monitoring
    1. Continuous pulse oximetry
      1. Arterial Blood Gas indicated for drop in oximetry
  7. .
  8. Imaging
    1. Chest XRay
      1. Acute infiltrate
  9. Management
    1. Oxygen to keep Oxygen Saturation >95%
    2. Incentive Spirometry
    3. Broad spectrum antibiotics
      1. Includes coverage for atypical respiratory bacteria
    4. Narcotic Analgesics
      1. See Sickle Cell Crisis for pain management
    5. Reactive airway disease management if present
  10. References
    1. Vichinsky (2000) N Engl J Med 342:1855-65

Acute Chest Syndrome (C0742343)

Definition (MSH) Respiratory syndrome characterized by the appearance of a new pulmonary infiltrate on chest x-ray, accompanied by symptoms of fever, cough, chest pain, tachypnea, or DYSPNEA, often seen in patients with SICKLE CELL ANEMIA. Multiple factors (e.g., infection, and pulmonary FAT EMBOLISM) may contribute to the development of the syndrome.
Concepts Disease or Syndrome (T047)
MSH D056586
ICD9 517.3
SnomedCT 372146004
Japanese 急性胸部症候群, ｷｭｳｾｲｷｮｳﾌﾞｼｮｳｺｳｸﾞﾝ
English acute chest syndrome, acute chest syndrome (diagnosis), CHEST SYNDROME ACUTE, Acute Chest Syndrome, Syndromes, Acute Chest, Syndrome, Acute Chest, Acute Chest Syndromes, Acute Chest Syndrome [Disease/Finding], Acute chest syndrome, Acute chest syndrome (disorder), Acute chest syndrome in sickle cell disease
Czech Akutní syndrom hrudní stěny, akutní hrudní syndrom
French Syndrome thoracique aigu, STA (Syndrome Thoracique Aigu)
German Akutes Thorax-Syndrom, akutes Thorax-Syndrom
Italian Sindrome toracica acuta
Portuguese Síndrome Torácica Aguda, Síndrome do tórax agudo
Spanish Síndrome Torácico Agudo, Sindrome Toracico Agudo, síndrome torácico agudo (trastorno), síndrome torácico agudo, Síndrome agudo de pecho
Russian ОСТРЫЙ ГРУДНОЙ СИНДРОМ, ОСТРЫЙ БОЛЕВОЙ СИНДРОМ ГРУДНОЙ КЛЕТКИ, OSTRYI GRUDNOI SINDROM, OSTRYI BOLEVOI SINDROM GRUDNOI KLETKI, GRUDNOI SINDROM OSTRYI, ГРУДНОЙ СИНДРОМ ОСТРЫЙ
Swedish Akut bröstsyndrom
Polish Ostry zespół piersiowy, Zespół piersiowy ostry
Hungarian acut mellkas syndroma
Dutch acuut borstkassyndroom
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Navigation Tree