Pneumomediastinum classification: Difference between revisions

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{{Pneumomediastinum}}
{{Pneumomediastinum}}


{{CMG}}; {{AE}}
{{CMG}}; {{AE}} {{Trusha}}


==Overview==
==Overview==
Pneumomediastinum may be classified according to cause into spontaneous pneumomediastinum and secondary pneumomediastinum.
Pneumomediastinum may be classified according to cause into spontaneous pneumomediastinum and secondary pneumomediastinum. Both the categories have multiple causes.


==Classification==
==Classification==


Pneumomediastinum is mainly classified according to the cause into 2 groups:<ref name="pmid3784922">{{cite journal |vauthors=Choudary PV, Deobagkar DN, Rao GR |title=Partial purification and properties of the assimilatory nitrate reductase of the food yeast Candida utilis |journal=Microbios |volume=47 |issue=192-193 |pages=135–47 |date=1986 |pmid=3784922 |doi= |url=}}</ref>
Pneumomediastinum is mainly classified according to the cause into 2 groups<ref name="pmid25774307">{{cite journal |vauthors=Kouritas VK, Papagiannopoulos K, Lazaridis G, Baka S, Mpoukovinas I, Karavasilis V, Lampaki S, Kioumis I, Pitsiou G, Papaiwannou A, Karavergou A, Kipourou M, Lada M, Organtzis J, Katsikogiannis N, Tsakiridis K, Zarogoulidis K, Zarogoulidis P |title=Pneumomediastinum |journal=J Thorac Dis |volume=7 |issue=Suppl 1 |pages=S44–9 |date=February 2015 |pmid=25774307 |pmc=4332083 |doi=10.3978/j.issn.2072-1439.2015.01.11 |url=}}</ref>:
* Spontaneous, also known as idiopathic pneumomediastinum: Predisposing factors are tobacco use, recreational drug use, asthma, interstitial lung disease, COPD.
* Spontaneous, also known as [[idiopathic]] pneumomediastinum: Cause of sponateous pneumomediastinum is use of tobacco and recreational drugs such as cocaine, marijuana, methamphetamine.
* Secondary pneumothorax:  
* Secondary pneumomediastinum:  
** Iatrogenic: Endoscopic procedures, intubation/extubation, central line placement.
** [[Iatrogenic]]: [[Endoscopy|Endoscopic]] procedures, [[intubation]]/[[extubation]], [[central line|central vascular access procedure]], [[pleural cavity]] instrumentation, chest or abdominal surgery.
** Traumatic: Blunt force trauma, penetrating injury.
** [[Traumatic]]: Blunt force [[trauma,]] [[penetrating]] chest or abdominal injury.
**Non-traumatic: Predisposing factors are preexisting medical conditions such as [[asthma]], [[interstitial lung disease]], [[COPD exacerbation resident survival guide|COPD]], [[bronchiectasis]], lung [[cysts]], [[malignancy|lung malignancy]], excessive [[vomiting]].


* Pneumomediastinum can also be classified according to the entry of air into the mediastinal cavity:


[Disease name] may be classified according to [classification method] into [number] subtypes/groups:  
{{Family tree/start}}
*[Group1]
{{Family tree | | | | | | A01 | | | |A01= '''Pneumomediastinum'''}}
*[Group2]
{{Family tree | | | |,|-|-|^|-|-|.| | }}
*[Group3]
{{Family tree |boxstyle=text-align: left| | | C01 | | | | C02 |C01= '''Spontaneous pneumomediastinum''' <br>•Tobacco and recreational drug use| C02= '''Secondary pneumomediastinum'''}}
*[Group4]
{{family tree | | | | | | |,|-|-|^|-|-|.| | | | | | | | | }}
{{family tree |boxstyle=text-align: left| | | | | | D01 | | | | D02 | | |D01= '''Iatrogenic'''
<br>• Endoscopic procedures<br>• Intubation/extubation<br>• Central line access<br>• Pleural cavity instrumentation<br>• Chest or abdominal surgery| D02= '''Traumatic''' <br>• Blunt force trauma<br>• Penetrating truma to chest/abdomen<br> '''Non traumatic''' <br>• Asthma<br>• Interstitial lung disease<br>• COPD<br>• Bronchiectasis<br>• Lung cysts<br>• Lung malignacies<br>• Excessive vomitting}}
{{family tree | | | | | | | | | | | | | | | | | | | | | | | }}
{{Family tree/end}}


OR
* Pneumomediastinum can also be classified according to the entry of air into the [[Mediastinum|mediastinal cavity]]: Head/neck/[[upper respiratory tract]], [[Respiratory system|lower respiratory tract]], [[Lung|lungs]], [[gastrointestinal tract]], or external environment. <ref>http://www.pulmonologyadvisor.com/pulmonary-medicine/non-neoplastic-disorders-of-the-mediastinum-pneumomediastinum/article/661012/</ref>
 
[Disease name] may be classified into [large number > 6] subtypes based on:
*[Classification method 1]
*[Classification method 2]
*[Classification method 3]
 
[Disease name] may be classified into several subtypes based on:  
*[Classification method 1]
*[Classification method 2]
*[Classification method 3]
 
OR
 
Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.
 
OR
 
'''If the staging system involves specific and characteristic findings and features:'''
 
According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
 
OR
 
The staging of [malignancy name] is based on the [staging system].
 
OR
 
There is no established system for the staging of [malignancy name].


==References==
==References==
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[[Category:Pulmonology]]
[[Category:Medicine]]
[[Category:Surgery]]
[[Category:Cardiology]]
[[Category:Emergency medicine]]

Latest revision as of 18:58, 17 December 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Trusha Tank, M.D.[2]

Overview

Pneumomediastinum may be classified according to cause into spontaneous pneumomediastinum and secondary pneumomediastinum. Both the categories have multiple causes.

Classification

Pneumomediastinum is mainly classified according to the cause into 2 groups[1]:


 
 
 
 
 
Pneumomediastinum
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Spontaneous pneumomediastinum
•Tobacco and recreational drug use
 
 
 
Secondary pneumomediastinum
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Iatrogenic
• Endoscopic procedures
• Intubation/extubation
• Central line access
• Pleural cavity instrumentation
• Chest or abdominal surgery
 
 
 
Traumatic
• Blunt force trauma
• Penetrating truma to chest/abdomen
Non traumatic
• Asthma
• Interstitial lung disease
• COPD
• Bronchiectasis
• Lung cysts
• Lung malignacies
• Excessive vomitting
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

References

  1. Kouritas VK, Papagiannopoulos K, Lazaridis G, Baka S, Mpoukovinas I, Karavasilis V, Lampaki S, Kioumis I, Pitsiou G, Papaiwannou A, Karavergou A, Kipourou M, Lada M, Organtzis J, Katsikogiannis N, Tsakiridis K, Zarogoulidis K, Zarogoulidis P (February 2015). "Pneumomediastinum". J Thorac Dis. 7 (Suppl 1): S44–9. doi:10.3978/j.issn.2072-1439.2015.01.11. PMC 4332083. PMID 25774307.
  2. http://www.pulmonologyadvisor.com/pulmonary-medicine/non-neoplastic-disorders-of-the-mediastinum-pneumomediastinum/article/661012/

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