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Doctor insights on: Acute Lung Injury Score

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Dr. Gutti Rao Dr. Rao
2 doctors agreed:
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How can differentiate the chest pain from acute pericarditis than acute myocardial infarction?

Dr. Gutti Rao Dr. Rao
2 doctors agreed:
How can differentiate the chest pain from acute pericarditis than acute myocardial infarction?

Different: Acute pericarditis may present with fever chest pain. On exam we may find pericardial rub. Also ekg findings may differ between the two. ...Read more

Lung (Definition)

Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more


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What is transfuion rlated acute lung injury (trali)?

What is transfuion rlated acute lung injury (trali)?

Rare transfusion rxn: Trali is a rare reaction to transfused plasma or platelets. It happens when the donor has formed antibodies to white blood cells. When the transfusion is given, the antibodies attack cells in the person receiving it, causing microscopic injury to the lungs. The can result in breathing difficulties and the need for a ventilator for a period of time. ...Read more

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Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival? Any possible impairment?

Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival?  Any possible impairment?

Not good : Sorry about this one, but there will be a suboptimal outcome at best. Survival may be issue, talk to your doctors, and perhaps an eeg can guide decisions, but hard to predict outcome of comas. Sounds like a profound traumatic event, and since young and severe, have a family conference with the treatment team, and get all your questions answered. ...Read more

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Severe chest pain, calcium screening showed chronic pulmonary hypertension& lung nodules. Had CT of chest 3mm & 8mm noncalcified granulomas.helpplease?

Severe chest pain, calcium screening showed chronic pulmonary hypertension& lung nodules. Had CT of chest 3mm & 8mm noncalcified granulomas.helpplease?

Lung nodules: many causes of lung granulomas. Histoplasmosis a fungus in the dirt is probably most common cause. Being around construction sites or bird handling are frequent causes especially around Ohio river. Connective tissue causes like sarcoidosis and wegeners can also cause. Working in dusty areas or around talc is known cause. With pulmonary hypertension you need to see a pulmonologist for definitive dx ...Read more

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What exactly is transfuion related acute lung injury (trali)?

What exactly is transfuion related acute lung injury (trali)?

It can be really bad: It's thought to be immune mediated. It usually occurs within 6 hours of receiving a blood product (red cells, platelets, cryoprecipitate, or plasma) and has a mortality rate approaching 10% in some studies. It causes significant pulmonary edema usually requiring intubation. It usually resolves in 2-4 days with just supportive care alone. ...Read more

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58y woman with brain injury, history of CHF and aspiration pneumonia. High fever, "extensive double pneumonia". O2 sats dropping. Odds of survival?

58y woman with brain injury, history of CHF and aspiration pneumonia. High fever, "extensive double pneumonia". O2 sats dropping. Odds of survival?

Not great: A major infection often carries a poor prognosis in individuals who already have these major underlying medical issues. No doctor can given you odds without knowing the patient. Speak with the doctors caring for her. ...Read more

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Direct sternal injury 2 years ago with chronic pain. Recent diagnosis of first rib injury with brachial plexus involvement. Changes of recovering?

Direct sternal injury 2 years ago with chronic pain.  Recent diagnosis  of first rib injury with brachial plexus involvement.  Changes of recovering?

Minimal: It seems you had enough time for spontaneous recovery. I would seek surgical correction of the rib to remove any pressure on the brachial plexus. ...Read more

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Can one chest CT scan damage lung and cause lung cancer ?

Can one chest CT scan damage lung and cause lung cancer ?

Not likely: The natural exposure one might get just from where you live may exceed 3msv per year. Living in denver, you might be exposed to 6msv per year. Risk of developing cancer from a properly conducted ct scan is low. I believe the estimated average radiation exposure for a single chest ct is about 5-7msv. A low dose chest ct is about 2msv. ...Read more

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Regarding mtbi.Do recovery occurs at the primary injury stage or the secondary injury stage of tbi?

Regarding mtbi.Do recovery occurs at the primary injury stage or the secondary injury stage of tbi?

Recovery takes time: With respect to mild tbi, recovery depends on the extent of initial symptoms and other factors. Research has shown that baseline physical condition before the injury, prior head injury or other neurologic disease, psychiatric disease, life stressors, student status, tbi after motor vehicle accident, and older age may be risk factors for persistent symptoms and longer recovery times. ...Read more

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What are diffuse infiltrates on neonate xray? acute infection or RDS?

What are diffuse infiltrates on neonate xray? acute infection or RDS?

Can be either: In a neonate , depending on circumstances it can be either. If baby is having respiratory distress and a follow up chest X-ray shows increasing ground glass appearance it is likely RDS. Also perinatal history is helpful - whether there was prematurity or premature rupture of membranes. Most times because the baby is small and having distress baby is treated for both with close follow ups. ...Read more

Dr. David Fox Dr. Fox
1 doctor agreed:
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How is acute clot differentiated from chronic clot on ultrasound?

Dr. David Fox Dr. Fox
1 doctor agreed:
How is acute clot differentiated from chronic clot on ultrasound?

Several ways: There are a number of features that can be used to distinguish acute from chronic venous thrombosis. In acute clot the lumen of the vein will be hypoechoic. The vessel will be enlarged and there may be peri-venous edema. I chronic clot the intraluminal echoes will be hyperchoic. There may be evidence of recanalization. The vein may be contracted. ...Read more

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Is kidney failure linked to bone marrow cancer and if treated is kidney process reversible. Biopsy report says 17 glo.Nonglobally sclerotic 4 ischemic?

Is kidney failure linked to bone marrow cancer and if treated is kidney process reversible. Biopsy report says 17 glo.Nonglobally sclerotic 4 ischemic?

It varies: Most cases of kidney failure caused by one of the blood cancers are reversible if detected early and treated promptly. But your biopsy indicates this may have been ongoing for quite some time. I would have you be patient and be hopeful at least for 4-6 weeks before you will know if this is going to improve or not. ...Read more

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How serious is acute spinal cord injury?

How serious is acute spinal cord injury?

Very: It can lead to paralysis. It needs to be managed by an expert in an appropriate setting. ...Read more

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Acute myocardial infarction due to es debility. What is that?

Acute myocardial infarction due to es debility. What is that?

????: I've never heard of es debility. Could you possibly be misspelling it? Please recheck and post again. ...Read more

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Regarding traumatic brain injury.Does recovery occurs at primary injury or secondary injury?

Regarding traumatic brain injury.Does recovery occurs at primary injury or secondary injury?

Please clarify: I am not understanding the question on traumatic brain injury and how recovery takes place...Or when? Would like to help you understand this entity a bit better. ...Read more

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Prominent interface hepatic score 4/4 Spotty necrosis score 2/4 Fibrous expation of portal area score 3/6 What would that mean?

Prominent interface hepatic score 4/4
Spotty necrosis score 2/4
Fibrous expation of portal area score 3/6
What would that mean?

GI: its best you consult a Gastroenterologist to explain this to you. I'm sure a healthtap doctor specializig in GI can be of some assistance. ...Read more

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Multilobulated pulmonary mass w/calcifications in left upper lobe. Neoplastic disease vs inflammatory/infectious process. rule out metastatic disease ?

Multilobulated pulmonary mass w/calcifications in left upper lobe. Neoplastic disease vs inflammatory/infectious process. rule out metastatic disease ?

In general...: IN GENERAL, a multilobulated mass is more likely malignant, one with calcifications is less likely. As in much else, size matters, with bigger being more worrisome. If you're smoker, more likely malignant, if from place of endemic TB or histoplasmosis, risk of chronic infection rises. You'll need to be evaluated by a pulmonologist, who will very likely recommend biopsy. ...Read more

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Mum diagnosed with stage 4 lung cancer. Mass in upper right airway caused major blockage. Iressa (gefitinib) treatment opens up airway. Any chances of recovery?

Mum diagnosed with stage 4 lung cancer. Mass in upper right airway caused major blockage. Iressa (gefitinib) treatment opens up airway. Any chances of recovery?

Targeted therapy: Newer targeted therapy agents can be quite beneficial for some patients with lung cancer. This is especially true in female never smokers who may have selected mutations that can be easily targeted with these drugs. However, unfortunately stage IV lung cancer is not curable. ...Read more

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What exactly is transfuion related acute lung injury (trali)?

It can be really bad: It's thought to be immune mediated. It usually occurs within 6 hours of receiving a blood product (red cells, platelets, cryoprecipitate, or plasma) and has a mortality rate approaching 10% in some studies. It causes significant pulmonary edema usually requiring intubation. It usually resolves in 2-4 days with just supportive care alone. ...Read more

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What is transfuion rlated acute lung injury (trali)?

Rare transfusion rxn: Trali is a rare reaction to transfused plasma or platelets. It happens when the donor has formed antibodies to white blood cells. When the transfusion is given, the antibodies attack cells in the person receiving it, causing microscopic injury to the lungs. The can result in breathing difficulties and the need for a ventilator for a period of time. ...Read more

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Are there any known ways to treat transfusion related acute lung injury?

Are there any known ways to treat transfusion related acute lung injury?

Supportive care: The good news is that trali is treatable. Prevent more damage by reducing the tidal volume on a ventilator and gradually reduce oxygen to minimum. Reduce amount of water. Keep the lungs dry. The lungs will recover with rest. There is no specific medicines. ...Read more

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Dr. Ly Phan Dr. Phan
1 doctor agreed:
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Can I fly back home while recovering from lung injury?

Dr. Ly Phan Dr. Phan
1 doctor agreed:
Can I fly back home while recovering from lung injury?

Depending on surgery: Recent lung resection for cancer vs none cancerous disease vs treatment for recurrent pneumothorax. Just call your surgeon and discuss with him/her about your travel plan. ...Read more

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How do active lung disease&lung injury differ?

How do active lung disease&lung injury differ?

Continuum: An active process can be limited or ongoing-chronic. It can be inflammation, tumor, or trauma or combined. An injury can be trauma and acute, or chronic like smoking. Stab wound is acute and an injury. These words are adjectives describing the situation. Active- something happening. Injury a problem, damage etc. . ...Read more

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What is the difference between active lung disease. Lung injury?

What is the difference between active lung disease. Lung injury?

Cause and Effect: Lung disease can be caused by many factors like cigarette smoking, tuberculosis, lung cancer, asthma, and others. Lung injury could occur from lung disease, trauma to the chest wall/lungs, or inhalation of toxic substance. So, a lung injury can happen from an isolated sudden accident or it could happen as a result of a disease process. I hope this helps. ...Read more

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What are the difference between lung injury and active lung disease?

What are the difference between lung injury and active lung disease?

Same result: The end result of some interstitial lung disease is the same even though the causes are different. ...Read more

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Could you explain the difference between active lung disease & lung injury?

Could you explain the difference between active lung disease & lung injury?

Ongoing damage: Active lung disease refers to a process that is not under control and can lead to ongoing damage or injury to the lung. Lung injury when acute is a one time event, but when chronic is likely caused by that active lung disease. ...Read more

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Dr. Ly Phan Dr. Phan
1 doctor agreed:
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Can a old punctured lung injury cause chest pain later in life?

Dr. Ly Phan Dr. Phan
1 doctor agreed:
Can a old punctured lung injury cause chest pain later in life?

Not usually: If you have new persistent onset of chest pain esp on left side, it is crucial that you inform your doctor soon to grt a throughout evaluation. ...Read more

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How long does a pulmonary edema caused by lung injury take to develop ?

How long does a pulmonary edema caused by lung injury take to develop

?

Lung injury edema: depends on the nature and severity of injury but if it's going to occur normally would be apparent within a few days. ...Read more

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How can I determine whether I have lung damage from silicate inhalation?

See your doctor: The most effective test would be pulmonary function studies, which will show how your lungs are functioning now. If you had a previous set done, comparison would show what the effects of exposure are. ...Read more

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Coughing extremely hard. Could this be lung damage?

Variety: Commonly viruses and upper respiratory irritation sometimes bacterial there are allergies, inhalants, and some lung diseases that evolve. Your best answer will be to tell the whole history to a doctor and get examined fir other signs of trouble and likely get an xray. ...Read more

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What is the definition or description of: Lung damage?

What is the definition or description of: Lung damage?

Lung damage: Disease or injury which negatively impacts the lungs which are part of the respiratory system. ...Read more

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What helps gastropareses when it has already caused lung damage?

There r options !!!!: there are medications which can help with improving the gastric motility, if that fails Gastric pacemaker is another option which does not work in everyone, in some cases a bypass between stomach and intestines may be helpful if medical management has failed.This issue needs assessment by a team of physicians including gastroenterologist and a surgeon with experience in this field. ...Read more

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What causes lung damage, apart from smoking or hereditary conditions?

What causes lung damage, apart from smoking or hereditary conditions?

Fumes,asthma, cancer: Chronic inhalation of chemical fumes & vapors untreated asthma infections eg tuberculosis, pneumonia blood clots cancer primary or secondary. ...Read more

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My lung x-rays looked normal, does that mean I have no lung damage ?

My lung x-rays looked normal, does that mean I have no lung damage ?

No: Damage from what? Ct is much more sensitive than is a standard x-ray to look for damage caused by a wide variety of causes. ...Read more

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I was wondering about lung damage brought on by smoking, 10 a day, started at 17, quit at 21. I vigorously exercise now, will lungs completely heal?

I was wondering about lung damage brought on by smoking, 10 a day, started at 17, quit at 21. I vigorously exercise now, will lungs completely heal?

Probably: Any damage done by smoking 10 cigs a day for 4 years is likely to heal completely over time. Congratulations on stopping! see http://whyquit.Com/whyquit/a_benefits_time_table.Html for a timetable of how your body heals. ...Read more

Dr. Arthur Balin
1 doctor shared a insight

Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more


Dr. Bernard Seif
123 doctors shared insights

Lung Damage (Definition)

Disease or injury which negatively impacts the lungs which are part ...Read more